Domain 1 Clinical And Coding Practice Flashcards
0
Q
What date were DRGs implemented
A
October 1, 1983
1
Q
Mandated the implementation of a PPS for inpatient facilities.caused extensive changes to Medicare
A
TEFRA tax equity and fiscal responsibility act of 1982
2
Q
Home health PPS is
A
HH PPS (OASIS)
3
Q
SNF PPS
A
MDS
4
Q
IRF PPS
A
PAI
5
Q
Federal fiscal year. Is
A
October 1 through September 31
6
Q
The DRG system was developed for what
A
Quality of care and utilization of services
7
Q
The four principles of the DRG systems guiding formation are:
A
- DRG patient characteristics definition should be limited to information routinely collected on the hospital billing form.
- Manageable number of DRGs that encompass all patient seen on an inpatient basis.
- Each DRG should contain patients with a similar pattern of resource intensity.
- Each DRG should contain patients who are similar from a clinical perspective.