Use the following table to answer the question.   MS-DRG Description Number of Patients CMS Relative Weight 470 Major joint replacement or reattachment of lower extremity w/o MCC 2,750 1.9871 392 Esophagitis, gastroent & misc. digestive disorders w/o MCC 2,200 0.7121 194 Simple pneumonia & pleurisy w CC 1,150 1.0235 247 Perc cardiovasc proc 2 drug-eluting stent w/o MCC 900 2.1255 293 Heart failure & shock w/o CC/MCC 850 0.8765 313 Chest pain 650 0.5489 292 Heart failure & shock w CC 550 1.0134 690 Kidney & urinary tract infections w/o MCC 400 0.8000 192 Chronic obstructive pulmonary disease w/o CC/MCC 300 0.8145 871 Septicemia w/o MV 96+ hours w MCC 250 1.7484 Based on the this patient volume, during this time period, the MS-DRG that brings in the highest “total” reimbursement to the hospital is 

Changes in case-mix index (CMI) may be attributed to all of the following factors EXCEPT

Some services are performed by a non-physician practitioner (such as a physician assistant). These services are an integral yet incidental component of a physician’s treatment. A physician must have personally performed an initial visit and must remain actively involved in the continuing care. Medicare requires direct supervision for these services to be billed. This is called

The computer-to-computer transfer of data between providers and third-party payers in a data format agreed upon by both parties is called

The nurse administered a blood transfusion to the patient after they came in hemorrhaging from an injury resulting from a car accident. After the transfusion, the patient was found to have developed West Nile Virus. The correct diagnosis codes to report this condition are: A92.30 West Nile virus infection, unspecified A92.39 West Nile virus infection with other complications B97.89 Other viral agents as the cause of diseases classified elsewhere T80.219A Unspecified infection due to central venous catheter T88.0XXA  Infection following immunization T81.12XA Postprocedural septic shock, initial encounter  

The patient was recently diagnosed with stage 3 renal disease and has arrived at the facility to receive the fitting and adjustment of a catheter for renal dialysis. The correct diagnosis code to report this condition is:  Z49.01 Encounter for fitting and adjustment of extracorporeal dialysis catheter Z49.02 Encounter for fitting and adjustment of peritoneal dialysis catheter Z49.31 Encounter for adequacy testing for hemodialysis Z49.32 Encounter for adequacy testing for peritoneal dialysis  

In ICD-10-PCS, the excision of malignant lesion skin of left ear would be coded: OH53XZZ Destruction, skin, left ear, external approach 0HB3XZZ Excision, skin, left ear, external approach 0HC3XZZ Extirpation, skin, left ear, external approach 0HD3XZZ Extraction, skin, left ear, external approach  

The patient was diagnosed with anterior spinal artery compression syndrome affecting T10–T12. The correct diagnosis code to report this condition is: M89.168 Other physeal arrest of lower leg M47.012 Anterior spinal artery compression syndromes, cervical region M89.164 Complete physeal arrest, right distal tibia M47.014 Anterior spinal artery compression syndromes, thoracic region

A physician excises a 3.1 cm malignant lesion of the scalp that requires full-thickness graft from the thigh to the scalp. In CPT, which of the following procedures should be coded?

A patient presents to an outpatient clinic with a large growth on the left side of the neck. Examination reveals primary malignant neoplasm of lymph nodes. Confirmed diagnosis of nodular lymphocyte predominant Hodgkin lymphoma, lymph nodes of head, face, and neck. The correct diagnosis code to report this condition is:  C76.0 Malignant neoplasm of head, face, and neck C77.0 Secondary and unspecified malignant neoplasm of lymph nodes of head, face, and neck C77.9 Secondary and unspecified malignant neoplasm of lymph node, unspecified C81.01 Nodular lymphocyte predominant Hodgkin lymphoma, lymph nodes of head, face, and neck