Match the following with the correct term or definition.
-Codes recognized by the MS-DRG Grouper as an Operating Room Procedure that may affect MS-DRG assignment
A)Non-OR procedure affecting MS-DRG assignment
B)Limited coverage
C)Noncovered OR procedure
D)Valid OR procedure
E)Bilateral procedure

Question

Quizplus · Accepted Answer

Valid OR procedures are codes recognized by the MS-DRG Grouper as operating room procedures that may affect MS-DRG assignment.

Answer: A
 Non-OR procedures affecting MS-DRG assignment are codes that are not recognized as operating room procedures but may still impact the MS-DRG assignment.

Answer: C
 Noncovered OR procedures are operating room procedures that are not covered by Medicare and will not be reimbursed.

Answer: B
 Limited coverage refers to services or procedures that are covered by Medicare but with restrictions or limitations, such as the need for medical necessity documentation.

Answer: E
 Bilateral procedures are services or procedures that are performed bilaterally (on both sides of the body) during the same operative session or encounter, and may affect MS-DRG assignment.

Match the Following with the Correct Term or Definition