The Many Hats of the Physician Advisor in 2022 – Post Test

1. Which of the following is NOT acceptable as it pertains to the role of the Physician Advisor in case discussion with the Attending Physician?

2. A CMS quality program that has an “incentive option” is the

3. Showing the degree of “sickness” through documentation to capture the picture of the condition, the concerns about the progress, and the needed steps to take to care of the patient safely and correctly is shown in documentation to justify payment for care delivered.  This type of clinical documentation is called showing

4. MEAT was described as a documentation roadmap to show medical necessity.  It stands for (choose ALL that apply):

5. A 59 year old presents for an elective knee replacement.  It was pre-approved as an outpatient procedure.  On day two, after a restless night, the patient is having a great deal more pain and he develops a low grade fever (99.6) and cough.  At 8pm the orthopedist rounds and given the persistent fever (100.8) and cough, he states that the patient needs to stay overnight and get treatment.  The next thing the surgeon should do is:

6. “D-Day” was mentioned in this session.  Positive statements pertaining to “D-Day” include (choose all that are CORRECT):

7. Regarding the Case Mix Index (CMI), select the one MOST CORRECT answer…

8. A patient is brought into the hospital for care and is deemed to be inpatient.  On day two the Attending decides that the patient should have been placed in observation status instead.  The process that needs to occur to notify the beneficiary of any financial obligation with this stay is called:

9. What committee is focused on coordination of activities that reduce cost and waste.

It also leads efforts that focus on increasing quality and efficiency and is the only committee mandated by the CMS Conditions of Participation

10. An ambulatory Star measure that Physician Advisors can help impact with their hospital work is: