100% satisfaction guarantee Immediately available after payment Both online and in PDF No strings attached
logo-home
Healthcare Settings, Claim Cycle, and Claims Processing (ME2550) exam Questions And Answers $10.99   Add to cart

Exam (elaborations)

Healthcare Settings, Claim Cycle, and Claims Processing (ME2550) exam Questions And Answers

 1 view  0 purchase

Healthcare Settings, Claim Cycle, and Claims Processing (ME2550) exam Questions And Answers

Preview 2 out of 10  pages

  • September 7, 2024
  • 10
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
All documents for this subject (10)
avatar-seller
sammysylvan001
Healthcare Settings, Claim
Cycle, and Claims
Processing (ME2550) exam
Questions And Answers




sammysylvan001@gmail.com
[COMPANY NAME] [Company address]

, Healthcare Settings, Claim Cycle,
and Claims Processing (ME2550)
exam Questions And Answers

Revenue cycle management - correct answer diagnosis-related group (DRG) coding validation and claims
denial procedures, which are vital to recovering otherwise lost revenue to the facility (or reimbursing
overpayments received by the hospital to third-party payers).



Health Insurance Claim - correct answer documentation submitted to an insurance plan requesting
reimbursement for health care services provided



Hold Harmless Clause - correct answer policy that the patient is not responsible for paying what the
insurance plan denies.



Center for Medicare and Medicaid Services (CMS) - correct answer - An administrative agency within the
federal Department of Health and Human Services (DHHS).

-CMS publishes the Healthcare Common Procedure Coding System (HCPCS)



Coding - correct answer process of reporting diagnoses, procedures, and services as numeric and
alphanumeric characters (called codes) on the insurance claim.



Overview of ICD-10-CM and ICD-10-PCS - correct answer •ICD-10: Published by WHO to classify
mortality (death) data from death certificates

•ICD-10-CM: Created by NCHS to classify morbidity (disease) data from all settings

•ICD-10-PCS: Created by CMS and used for inpatient hospital settings only



International Classification Of Diseases, 10th Revision, Clinical Modification (ICD-10-CM) - correct answer
- Created by the National Center for Health Statistics (NCHS) classify MORBIDITY (disease) date from all
setting

The benefits of buying summaries with Stuvia:

Guaranteed quality through customer reviews

Guaranteed quality through customer reviews

Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.

Quick and easy check-out

Quick and easy check-out

You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.

Focus on what matters

Focus on what matters

Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!

Frequently asked questions

What do I get when I buy this document?

You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.

Satisfaction guarantee: how does it work?

Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.

Who am I buying these notes from?

Stuvia is a marketplace, so you are not buying this document from us, but from seller sammysylvan001. Stuvia facilitates payment to the seller.

Will I be stuck with a subscription?

No, you only buy these notes for $10.99. You're not tied to anything after your purchase.

Can Stuvia be trusted?

4.6 stars on Google & Trustpilot (+1000 reviews)

72042 documents were sold in the last 30 days

Founded in 2010, the go-to place to buy study notes for 14 years now

Start selling
$10.99
  • (0)
  Add to cart