level: Inpatient Prospective Payment System (IPPS)
Questions and Answers List
level questions: Inpatient Prospective Payment System (IPPS)
| Question | Answer |
|---|---|
| Facilities excluded from IPPS are | inpatient rehab, long-term care hospitals, psychiatric hospitals, children's hospitals, and cancer hospitals |
| A type 1 transfer is where a patient is discharged from an acute IPPS hospital and is admitted to | another acute IPPS hospital on the same day |
| A type 2 transfer is where a patient is discharged from an IPPS hospital to | a hospital or unit that is excluded from IPPS |
| IME adjustment stands for | indirect medical education adjustment (for teaching hospitals) |
| Pre-MDC stands for | Pre- Major Diagnostic Category |
| Pre-MDC is assigned in cases where | a patient is having a major transplant or other procedure that has systemic impacts on the body |
| AMLOS stands for | arithmetic mean length of stay |
| the geometric mean length of stay (GMLOS) is _________ (more/less) influenced by large outliers. | less |
| The 4 steps of assigning MS-DRGs are | 1) pre-MDC assignment 2) MDC assignment (based on PD) 3) medical/surgical determination 4) refinement (CCs/MCCs/non CCs/MCCs) |