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The scale of measurement used for variable data that is simply a label for the purpose of identifying the attribute of an element is the _____ scale.

Which of the following describes the process of analyzing frequency data by category and determining trends for high-volume denials?

In 2017, the Fraud Section of the DOJ published a memorandum that addresses compliance-related topics. Which of the following compliance-related topics involves asking the questions “What training have employees in relevant control functions received?” and “What analysis has the company undertaken to determine who should be trained and on what subjects?”

Which of the following best describes the recommended starting point for any outpatient CDI program?

What is a four-digit code indicating the department or type of service for each chargemaster item and comprising a list updated each year by the National Uniform Billing Committee and Centers for Medicare and Medicaid Services?

The benefits of an outpatient CDI program are far reaching and include more accurate reimbursement and procedure code and APC assignment as well as decreased denials, decreased AR days, and __________.

When different hospitals within a peer group provide similar services, such as wound debridement, chemotherapy infusion or injections, or laceration repairs, which of the following files containing information about the frequency of use of the corresponding CPT/HCPCS codes for these services can be consulted to compare and determine whether the code frequency in a specific hospital is reasonable for a particular service?

The CDI program manager is responsible for creating and maintaining the department policies and procedures that include the industry guidance from DOJ, OIG, and the Cooperating Parties. What is one question to ask when designing compliance policies and procedures?

The outpatient CDS is challenged to improve the HCC capture in the primary care clinics. Analysis of the historical reports from a specific payer uncovers a shift in the documentation and coding of HCCs identified in the previous two years. The CDS decides to offer education for the providers on the MEAT guidelines for documenting secondary conditions in the clinical record. The CDS also implements a process to notify the provider prior to the patient encounter of chronic conditions that could be applicable for the current visit. This is an example of which step in preparing to implement the pilot CDI plan?

A patient taking haloperidol for schizophrenia develops extrapyramidal symptoms (EPS). Which findings suggest EPS? (Select all that apply.)