Deck 7: Departmental Data

Question 1

Calculate the correct DRG payment for the following scenario: The DRG relative weight for a tracheostomy with ventilation is 7.6303, and the base rate for your hospital is $2,875.

A) $21,850
B) $21,936.25
C) $21,837.72
D) $21,937.11

Answer 1

$21,937.11

Question 2

Calculate the Case Mix Index (CMI) for the below data:

A) 1.1933
B) 2.1245
C) 3.0637
D) 0.99062

Answer 2

0.99062

Question 3

Calculate the Case Mix Index (CMI) for the below data:

A) 1.1933
B) 2.1245
C) 1.1800
D) 0.9906

Answer 3

1.1800

Question 4

Calculate the correct DRG payment for the following scenario after calculating the new relative weight: The initial relative weight for an intracranial hemorrhage is 3.0091, but CMS just readjusted the weight up by 15%. 40 patients underwent treatment for an intracranial hemorrhage. What is the new adjusted DRG payment total if your facility has a base rate of $2,122?

A) $293,724.27
B) $288,592.00
C) $638,531.02
D) $4,086,598.50

Question 5

Calculate the Case Mix Index (CMI) for the below data:

A) 2.7434
B) 1.84623
C) 0.6426
D) 0.81245

Question 6

Calculate the total relative weight if 22 patients have a spinal procedure, where the DRG relative weight is 2.1057.

A) 44.9387
B) 46.3254
C) 51.3726
D) 58.1524

Question 7

Calculate the Case Mix Index (CMI) for the below data:

A) 1.1021
B) 2.1245
C) 1.1800
D) 0.9906

Question 8

Calculate the total relative weight if five patients have a craniotomy for trauma, where the DRG relative weight is 3.7087.

A) 18.5435
B) 18.5
C) 18.55
D) 13.865

Question 9

Which is assigned per DRG?

A) Relative weight
B) Base rate
C) CMI
D) City

Question 10

A goal slightly above the average is called a __________ rate.

A) median
B) push
C) mode
D) amortization

Question 11

How many hours per year does a 37.5 hours per week employee work who has 2 weeks' vacation and 10 holidays?

A) 1,680
B) 1,800
C) 1,920
D) 1,950

Question 12

The most recent rolling quarterly average for the months January, February, March, April, May, June, and July is:

A) May, June, and July.
B) January, February, and March.
C) January, March, and May.
D) March, May, and June.

Question 13

Calculate the Case Mix Index (CMI) for the below data:

A) 1.3107
B) 1.3974
C) 2.1245
D) 3.0637

Question 14

Calculate the correct DRG payment for the following scenario: The DRG relative weight for a bone marrow transplant is 8.8698, and the base rate for your facility is $1,815.

A) $15,972
B) $16,153.50
C) $16,098.69
D) $16,099.05

Question 15

Calculate the correct DRG payment for the following scenario after calculating the new relative weight: The initial relative weight for transient ischemia is 0.8901, but CMS just readjusted the weight up by 4%. What is the new adjusted DRG relative weight?

A) 0.8545
B) 0.0356
C) 0.9257
D) 3.5604

Question 16

The TJC allowable delinquency record rate is _______%.

A) 0
B) 5
C) 25
D) 50

Question 17

A rolling quarterly average is calculated with:

A) standard January-March, April-June, July-September, and October-December quarters.
B) the most recently passed 3 months.
C) the most recently passed 4 months.
D) an average of each of the 4 quarters.

Question 18

The most recent rolling quarterly average from November, December, January, March, and April is calculated with which months?

A) December, January, and March
B) January, February, and March
C) February, March, and April
D) November, December, and January

Question 19

Incomplete or delinquent records are those past the allowed _____ day(s) after the discharge window.

A) 2
B) 15
C) 30
D) 60

Question 20

Calculate the Case Mix Index (CMI) for the below data:

A) 1.1933
B) 2.1245
C) 3.0637
D) 4.9468

Question 21

Based on your answer to questions 37 and 38, if your emergency room saw 6,000 patients in March, is the emergency room overstaffed, understaffed, or properly staffed?

A) Overstaffed
B) Understaffed
C) Properly staffed

Question 22

Transcriptionists at Westgate Medical Center type 180 lines per hour (1,440 lines per 8-hour productive work day * 5 work days = 7,200 lines per week). This would result in 28,800 lines typed per month. You are considering January, February, and March in which your facility physicians average 170,000 lines of dictation. How many full-time transcriptionists would you need to cover the anticipated volume of work? Round up to a whole number for this exercise.

A) 1
B) 2
C) 3
D) 4

Question 23

You have just instituted productivity standards for your coders. In the emergency room, your standard is 21 emergency room charts per hour during an 8-hour work day. If you have two full-time coders assigned to this task, what will their daily productivity be at this workflow level?

A) 308 charts per day
B) 314 charts per day
C) 320 charts per day
D) 336 charts per day

Question 24

How are productivity standards determined?

A) Industry benchmarks
B) Other HIM department directors
C) Your own standards
D) All of the above

Question 25

When you want to customize productivity standards to your facility procedures, which should you use?

A) Industry benchmarks
B) Average of area facilities
C) Your own data
D) AHIMA data

Question 26

Transcriptionist A produced 300,000 lines last year. She took 20 days off for vacation and holidays, making her productive days 240. Calculate Transcriptionist A's daily productivity.

A) 980 lines
B) 1,050 lines
C) 1,100 lines
D) 1,250 lines

Question 27

Using the below data, what is the allowable amount of delinquent H&Ps if the allowable delinquency rate is 1.5%?

A) 26.4
B) 23.4
C) 27.0
D) 25.6

Question 28

Transcriptionist A earns $18 per hour and works for 2,080 hours with benefits at 25%. If the production average for Transcriptionist A is 1,200 lines per day or 6,000 lines per week, with 52 weeks in a year, the total line production is 312,000. The unit cost for transcription produced by Transcriptionist A is approximately how much per line?

A) $0.10
B) $0.12
C) $0.15
D) $0.20

Question 29

Typically, for transcriptionists, one line is how many characters?

A) 55
B) 65
C) 70
D) 85

Question 30

Using the below data, which months are out of compliance for delinquent charts?

A) January
B) February
C) March
D) January and March

Question 31

Transcriptionists at Sunnyview Medical Center type 150 lines per hour (1,200 lines per 8-hour productive work day * 5 work days = 6,000 lines per week). This would result in 24,000 lines typed per month. You are considering March, April, and May in which your facility physicians average 185,000 lines of dictation. How many full-time transcriptionists would you need to cover the anticipated volume of work? Round up to a whole number for this exercise even though you may need to consider a part-time employee for one of the positions.

A) 1
B) 2
C) 3
D) 4

Question 32

Using the below data, which months are out of compliance for H&P?

A) April
B) May
C) June
D) April and June

Question 33

You have just instituted productivity standards for your coders. In the emergency room, your standard is 24 emergency room charts per hour during an 8-hour work day. If you have two full-time coders assigned to this task, what will their daily productivity be at this workflow level?

A) 308 charts per day
B) 336 charts per day
C) 384 charts per day
D) 368 charts per day

Question 34

Calculate the Case Mix Index (CMI) for the below data:

A) 2.1245
B) 1.1021
C) 0.8937
D) 0.9906

Question 35

Labor cost is _______ for a more productive employee. In other words, the per unit cost for a more productive employee will be _________ than that of a less productive employee.

A) less; higher
B) less; lower
C) more; higher
D) more; lower

Question 36

Transcriptionist A earns $12 per hour and works for 2,040 hours with benefits at 20%. If the production average for Transcriptionist A is 1,100 lines per day or 5,500 lines per week, with 52 weeks in a year, the total line production is 286,000. The unit cost for transcription produced by Transcriptionist A is approximately how much per line?

A) $0.10
B) $0.12
C) $0.15
D) $0.20

Question 37

Calculate the average number of discharges for the quarter from the below data:

A) 1,650
B) 1,700
C) 1,750
D) 1,800

Question 38

Using the same question as 37, if the two coders each have 20 productive work days a month, what is their total output potential per month?

A) 6,720 charts per month
B) 6,800 charts per month
C) 6,880 charts per month
D) 6,920 charts per month

Question 39

Calculate the Case Mix Index (CMI) for the below data:

A) 2.1245
B) 1.0643
C) 0.8937
D) 0.9906

Question 40

Calculate the allowable delinquent chart rate for the quarter from the below data:

A) 875
B) 900
C) 925
D) 950

Question 41

You have just instituted productivity standards for your coders. In the emergency room, your standard is 15 emergency room charts per hour, with full-time being an 8-hour work day and part-time being a 4-hour work day. If you have one full-time coder and one part-time coder assigned to this task, what will their daily productivity be at this workflow level?

A) 150 charts per day
B) 160 charts per day
C) 170 charts per day
D) 180 charts per day

Question 42

Based on your answer to questions 40 and 41, if 9,000 patients are seen in the emergency room in March, is the emergency room overstaffed, understaffed, or properly staffed?

A) Overstaffed
B) Understaffed
C) Properly staffed

Question 43

The arithmetic mean of the relative diagnosis-related group weights of all health care cases in a given period is called:

A) base rate.
B) prospective payment system.
C) Case Mix Index.
D) relative weight.

Question 44

Using the same question as 40, if the two coders each have 22 productive work days a month, what is their total output per month?

A) 8,444 charts per month
B) 8,448 charts per month
C) 8,880 charts per month
D) 8,220 charts per month

Question 45

Using the same question as 43, if the one full-time coder and one part-time coder each have 21 productive work days a month, what is their total output per month? (Note that your emergency room saw 3,750 patients in March.)

A) 3,780 charts per month
B) 3,800 charts per month
C) 3,850 charts per month
D) 3,900 charts per month

Question 46

Calculate the mid-range needed or the expectations per worked hour for the below data:

A) Prepping 400 images; Scanning 1,800 images; Quality Control 1,850 images; Indexing 720 images
B) Prepping 420 images; Scanning 1,800 images; Quality Control 1,850 images; Indexing 760 images
C) Prepping 420 images; Scanning 1,600 images; Quality Control 2,850 images; Indexing 760 images
D) Prepping 400 images; Scanning 1,600 images; Quality Control 1,950 images; Indexing 860 images