RHIA Certification Exam Questions with AI Explanations

QUESTION: 336

The third step is

cases are differentiated based on the presence or absence of complications/ comorbidites (CCs) or major complications comorbidites (MCCS).
cases are divided into either a surgical partition or a medical partition.
the principal diagnosis determines the MDC assignment.
diagnoses and procedures are coded using ICD-9-CM.

Answer(s): B

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QUESTION: 337

The fourth step is

cases are differentiated based on the presence or absence of complications/ comorbidites (CCs) or major complications comorbidites (MCCS).
cases are divided into either a surgical partition or a medical partition.
the principal diagnosis determines the MDC assignment.
diagnoses and procedures are coded using ICD-9-CM.

Answer(s): A

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If the Medicare nonPAR approved payment amount is $128.00 for a proctoscopy, what is the total Medicare approved payment amount for a doctor who does not accept assignment, applying the limiting charge for this procedure?

$ 140.80
$ 143.00
$ 192.00
$ 147.20

Answer(s): D

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QUESTION: 339

Under the inpatient prospective payment system (IPPS), there is a three-day payment window (formerly referred to as the 72-hour rule). This rule requires that outpatient preadmission services that are provided by a hospital up to three calendar days prior to a patient's inpatient admission be covered by the IPPS MS-DRG payment for

diagnostic services.
therapeutic (or non-diagnostic) services whereby the inpatient principal diagnosis code (ICD-9-CM) exactly matches the code used for pre-admission services.
therapeutic (or non-diagnostic) services whereby the inpatient principal diagnosis code (ICD-9-CM) does not match the code used for pre-admission services.
both A and B.

Answer(s): D

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QUESTION: 340

Under the outpatient prospective payment system (OPPS), status indicator "______" is a payment indicator that refers to "significant procedures for which the multiple procedure reduction applies." This means that the reported CPT and/or HCPCS Level II code will be paid a discounted APC reimbursement rate when reported with other procedures on the same claim.

"T"
"X"
"S"
"A"

Answer(s): C

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AHIMA Registered Health Information Administrator (RHIA) RHIA Dumps in PDF

Free AHIMA RHIA Real Questions (page: 68)

QUESTION: 336

QUESTION: 337

QUESTION: 338

QUESTION: 339

QUESTION: 340