Podcast
Questions and Answers
How many inpatient discharge charts need to be coded in a week?
How many inpatient discharge charts need to be coded in a week?
What is the average coding rate for ambulatory surgery patients?
What is the average coding rate for ambulatory surgery patients?
If coders work 40 hours a week, how many total hours are needed to code 840 ED charts?
If coders work 40 hours a week, how many total hours are needed to code 840 ED charts?
What is the total number of ancillary services charts that need coding each week?
What is the total number of ancillary services charts that need coding each week?
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How many Full-Time Equivalent (FTE) coders are needed to meet the weekly coding needs?
How many Full-Time Equivalent (FTE) coders are needed to meet the weekly coding needs?
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Which data points are essential for calculating the Case Mix Index (CMI)?
Which data points are essential for calculating the Case Mix Index (CMI)?
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Which domain of quality management describes the purpose of collecting data?
Which domain of quality management describes the purpose of collecting data?
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What is the adjusted base operating MS-DRG if the initial base is $5,040.00 and the adjustments made are VBP: -$5.06, DSH: +$128.56, IME: +$486.22, and Readmission adjustment: -$1.08?
What is the adjusted base operating MS-DRG if the initial base is $5,040.00 and the adjustments made are VBP: -$5.06, DSH: +$128.56, IME: +$486.22, and Readmission adjustment: -$1.08?
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The Disproportionate Share Hospital (DSH) adjustment affects the base MS-DRG in what way?
The Disproportionate Share Hospital (DSH) adjustment affects the base MS-DRG in what way?
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Which of the following adjustments would typically decrease the base MS-DRG amount?
Which of the following adjustments would typically decrease the base MS-DRG amount?
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What percentage reduction in payment will CMS impose on hospitals with the highest rates of hospital-acquired conditions?
What percentage reduction in payment will CMS impose on hospitals with the highest rates of hospital-acquired conditions?
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Which of the following statements accurately reflects the consequences of high hospital-acquired condition rates?
Which of the following statements accurately reflects the consequences of high hospital-acquired condition rates?
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If a hospital successfully reduces its HAC rates, what is the likely outcome regarding its payments from CMS?
If a hospital successfully reduces its HAC rates, what is the likely outcome regarding its payments from CMS?
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In the context of hospital-acquired conditions, what does HAC stand for?
In the context of hospital-acquired conditions, what does HAC stand for?
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What financial measure does the CMS take in response to hospitals with excessive hospital-acquired conditions?
What financial measure does the CMS take in response to hospitals with excessive hospital-acquired conditions?
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Study Notes
HIM Department Coding Needs
- A newly expanded hospital needs to hire more coders due to staff retirements and the implementation of ICD-10-CM/PCS.
- Productivity has slowed.
- Average coding per hour is as follows:
- Inpatients: 2.5
- Ambulatory surgery patients: 3.5
- ED visits: 7
- Ancillary services (testing/laboratory): 10
- Additional coding needs per week:
- 500 inpatient discharge charts
- 420 ambulatory surgery charts
- 840 ED charts
- 800 ancillary services
- Coders work 40 hours per week.
- Calculation to determine FTE coders needed to fulfill coding needs:
- Total coding needs per week: sum of all needs
- Total coding hours per week: total coding needs / average coding per hour
- Total FTE coders needed: total coding hours per week /40 hours
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Description
This quiz focuses on assessing the coding needs of a newly expanded hospital, taking into account staff shortages and the implementation of ICD-10-CM/PCS. You'll calculate the Full-Time Equivalent (FTE) coders required to meet the coding demands based on productivity rates and average coding per hour.
