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HIT 203 Midterm|60 Review Quiz Questions |With Correct Answers|28 Pages $8.49   Add to cart
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HIT 203 Midterm|60 Review Quiz Questions |With Correct Answers|28 Pages
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A physician office submitting an invoice (claim) for payment when the patient has health insurance is an example of a transaction between ________ and ________. Provider; third-party payer Employer; third party payer Patient; third party payer Patient; employer - ️️Provider; third-party p...

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  • November 20, 2024
  • 28
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers

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  • HIT 203
  • HIT 203

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HIT 203 Midterm|60 Review Quiz Questions



A physician office submitting an invoice (claim) for payment when
the patient has health insurance is an example of a transaction
between ________ and ________.




Provider; third-party payer

Employer; third party payer

Patient; third party payer

Patient; employer - ✔️✔️Provider; third-party payer

Which of the following statements about retrospective

reimbursement is false?




Reimbursement is based on the actual resources expended to
deliver the services

,Total reimbursement amount is determined after services are
provided

The fewer services performed the greater the potential for
increased total reimbursement

Types include fee schedule and per diem - ✔️✔️The fewer
services performed the greater the potential for increased total
reimbursement

Which of the following statements about SNF per diem payment is

false?




There can be multiple per diem rates per resident stay.

There is only one per diem rate per resident stay.

The per diem rates are wage index adjusted.

There are two base rates available for use: urban and rural. - ✔️
✔️There is only one per diem rate per resident stay.

Which government-sponsored program provides coverage for
active-duty service members of the armed forces (ADSM)?

, TRICARE

Medicare

Veterans Health Administration

CHAMPVA - ✔️✔️TRICARE

Which MS-DRG includes secondary conditions with a moderate
severity of illness?




MS-DRG 193

MS-DRG 194

MS-DRG 195

None of the MS-DRGs - ✔️✔️MS-DRG 194

Which of the following concepts is a guiding principle for
prospective payment?

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