Question

1.The coding system that is used primarily for reporting diagnoses for hospital inpatients is known as:

a .ICD-9-CM

b.

CPT

c.

ICD-10

D. HCPCS Level II

2. Within an MS-DRG family, the presence of a ______________ causes the encounter to be assigned a higher weighted DRG.

a. longer length of stay

b. major complication or comorbidity (MCC)

c. complication of comorbitity (CC)

d. b and c

Answer 1

ANSWER 1) The coding system that is used for reporting the diagnosis for hospital inpatients is known as ICD-9-CM

Inferences : ICD-10 reports the medical diagnosis and procedures for inpatients which is newly developed where as ICD-9-CM is the primarily used coding system to report medical diagnosis of inpatients. CPT reports the medical procedures in ambulatory and outpatient settings. HCPCS level II reports the medical items, supplies and procedures.

ANSWER 2) Within an MS-DRG family, the presence of both a major complication or comorbidity (MCC) and complication of comorbidity (CC) causes the encounter to be assigned a higher weighted DRG.

Inferences: The CMS measures the severity of the based on th presence of MCC,CC or no CC. The presence of CC or MCC has resulted in increased complexity therefore the presence of MCC And CC will result in assignment of higher weighted DRG.