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CCA EXAM PREP Domain - 2 Reimbursement methodologies Questions and Answers Latest (2024 / 2025) (Verified Answers) $12.99   Add to cart

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CCA EXAM PREP Domain - 2 Reimbursement methodologies Questions and Answers Latest (2024 / 2025) (Verified Answers)

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CCA EXAM PREP Domain - 2 Reimbursement methodologies Questions and Answers Latest (2024 / 2025) (Verified Answers)

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  • July 5, 2024
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  • 2023/2024
  • Exam (elaborations)
  • Questions & answers
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NurseFerian
CCA EXAM PREP Domain # 2 Reimbursement

methodologies


1. 2nd step in reimbursement process

ANS Code assignment

2. 1st step in reimbursement process

ANS Documentation - medical/ financial record

3. 3rd step in reimbursement process

ANS Claim preparation

4. 4th step in reimbursement process

ANS Claim to payer(s)

5. 5th step in reimbursement process

ANS Claim review

6. 6th step in reimbursement process

ANS Claim resolution

7. What are the 2 types of outpatient coding situations

ANS 1. Coding for physicians



,2. Coding for facilities

8. What does medical biller use as foundation for determining who should

receive bills and who has responsibility for payment?

ANS Demographic information

9. When is demographic information collected

ANS Front office during pre-regristra- tion

10.CDM stands for

ANS Charge Description Master

11. List of all supplies, services, equipment, usage fees for patient care

ANS -

Charge Description Master

12.Coders perform the coding on procedures that vary from patient to pa-

tient.

ANS Soft Coding

13.Done by CDM. Automatically assigns codes based on a unique identifier

number of routine services

ANS Hard coding

14. - CPT/HCPCS procedure code

- Charge descripition


,- Revenue Code

- Charge

- Department code

- Charge Code

- Charge Status

ANS Charge Master Contents

15.Price established and assigned to a unit of medical/ other service in

facility

ANS Fee/ Charge

16.How often is Chargemaster updated

ANS Annually

17.What does chargemaster code by using the service identifier

ANS Routine services

18.Identifies procedure, service, product (incl. meds), other items provided to

patient

ANS Charge / item description

19.CPT/ HCPCS level II codes identify specific supplied to patient. Not all

have corresponding CPT/ HCPCS II codes.

ANS Procedure, service, product code


, 20.Unique 4-digit number that represents descriptions and dollar amounts

charges for hospital services provided to patient. Must accompany valid

procedure codes to be accepted

ANS Revenue code

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