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Mixed Quiz
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1IPPS is the abbreviation for Inpatient Prospective Payment System.
A)True
B)False


2IPPS is called a prospective payment system because the rates are determined daily based on what the hospital charges.
A)True
B)False


3The principal diagnosis determines the major diagnostic category (MDC).
A)True
B)False


4Hospital payment for a DRG is calculated by multiplying the DRG weight by the hospital's base rate.
A)True
B)False


5The Medicare-Severity DRG (MS-DRG) system replaced the APC system.
A)True
B)False


6Which of the following addenda, published in the Federal Register each year, contains the master list of CPT/HCPCS codes with corresponding APC codes and payment rates?
A)Addendum E
B)Addendum B
C)Addendum D-1
D)Addendum C


7Which of the following is not a type of CCI edit?
A)Column 1/Column 2 Code Pair Edits
B)Mutually Exclusive Edits
C)Medically Unnecessary Edits
D)Medically Unlikely Edits


8Which of the following is an example of abuse?
A)forging another person's signature
B)misrepresenting professional credentials
C)pretending to be a physician and treating patients without a license
D)billing for unnecessary services


9Which agency/organization is primarily responsible for enforcing the Health Care Fraud and Abuse Control Program?
A)OIG
B)DOJ
C)FBI
D)U.S. Attorney General's office


10According to the OIG guidance, which of the following would not be an element of a compliance plan?
A)pay-for-performance programs
B)written policies and procedures
C)disciplinary system
D)appointment of a compliance officer and committee





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