Net Accounts Receivable is - Answer The amount an entity is reasonably confident
of collecting from overall accounts receivable
The unscheduled "direct" admission represents a patient who - Answer Is
admitted from the physician's office on an urgent basis
In order for hospitals to remain compliant with TCPA the recommended best
practice is - Answer Obtain patient's consent to call the patient on their cellular
phone
What activities are completed when a scheduled, pre-registered patient arrives
for service? - Answer Verifying the patient's identity, activating the record, and
finalizing financial issues
It is important to calculate reserves to ensure - Answer Stable financial operations
and accurate financial reporting
In the pre-service stage, the requested service is screened for medical necessity,
health plan coverage and benefits are verified and - Answer Pre-authorizations
are obtained
, In what way, can a patient give informed consent? - Answer Patient signs a
written consent form.
Maintaining routine contact with the health plan or liability payer, making sure all
required information is provided and all needed approvals are obtained is the
responsibility of - Answer Case Management
A recurring/series registration is characterized by - Answer The creation of one
registration record for multiple days of service
What is a component of HFMA's "Healthcare Dollars & Sense" initiative? - Answer
Medical Account Resolution
Patients are contacting hospitals to proactively inquire about estimated costs and
fees prior to agreeing to service. The problem for hospitals in providing such
information is - Answer The fact that charge master lists the total charge, not net
charges that reflect charges after a payer's contractual adjustment
When Recovery Audit Contractors (RAC) identify improper payments as over
payments, the claims processing contractor must - Answer Send a demand letter
to the provider to recover the over payment amount
During pre-registration, a search for the patient's MPI number is initiated using
which of the following data sets? - Answer Patient's full legal name and date of
birth or the patient's Social Security number
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