List and describe the three areas used to determine the HHRG when establishing the reimbursement rate


Clinical, functional, and service utilization. (1) The clinical dimension establishes the score based on primary diagnosis and secondary diagnoses for the top diagnoses on the plan of care: vision, level of pain, presence of wounds, dyspnea, urinary and bowel status, need for infusion, and behavior. (2) The functional dimension assesses the patient's ability to perform activities of daily living such as dressing and bathing safely within the home setting. (3) Service utilization determines what level of service the patient is likely to need based on the number of therapy visits received during the episode of care.

Health Professions

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The EMT is correct when he makes which of these statements about assessment of the pupils?

A) "Dilated pupils are less of a concern than pupils that are constricted." B) "If a patient's pupils are dilated but react to light, the pupillary exam is considered normal." C) "Some people naturally have unequal pupils, but both should react to light." D) "Constricted pupils are less of a concern than are dilated pupils."

Health Professions

Which of the following statements was summarized from the NHANES III study?

A) Females had better periodontal health than males. B) Older individuals had more periodontal disease. C) Gingivitis was occurring in overall high rates. D) Aggressive periodontitis was very common.

Health Professions

The chief complaint is the ________ description of the reason for the current visit

Fill in the blank(s) with correct word

Health Professions

If a provider has agreed to accept assignment, he/she will

A. bill the patient for any amount not paid by the payer. B. write off the copay/coinsurance. C. accept the payer's allowed charge as payment in full. D. write off the deductible.

Health Professions