AAHAM Certified Revenue Cycle Professional (CRCP) Exam Package Deal

Also known as the Kennedy kassenbaum bill - Answer HIPAA Providers that a reporter error must be corrected or explained within 2 billing cycles or 90 days - Answer Fair credit billing act Formerly known as HCFA - Answer CMS Also known as regulation Z - Answer Truth in lending act Was rec...

AABB - Answers American Association of Blood Banks; one of six CMS- approved accreditation organizations Abuse - Answers Improperly, and often unknowingly, violating regulations ALJ hearing - Answers The third level of Medicare appeal; the amount in controversy threshold for 2012 is $130 Am...

A hospital inpatient admit through discharge claim would be what Type of Bill (TOB) on the UB-04? - Answer 111 True/False Average Daily Census is the average number of inpatients maintained in the hospital each day for a specific period of time. - Answer True Which type of claim requires HCPC...

1-day payment window rule - Answer a Medicare requirement similar to the day payment window rule that applies to inpatient poychiatric hosp tals, inpatient rehabilitation facilities, long term care facilities, and chil dren's and cancer hospital. 3-day payment window rule - Answer a Medicare req...

3-Day Rule - Answer a requirement that all diagnostic or outpatient services furnished in connection with the principle admitting diagnosis within three days prior to the hospital admission are bundled with the inpatient services for Medicare billing 837I - Answer the American National Standards ...

APC - Answer ambulatory payment classification; a payment methodology in which services paid under the prospective payment system are classified into groups that are similar clincially and in terms of the resources they require; a payment rate is est. for each APC APR - Answer annual percentage r...

Charity Care - Answer service provided that is never expected to result in cash flow. Charity Care results from a provider's policy to provide healthcare services free of charge or at a reduced cost to individuals who meet certain financial criteria. Indigent - Answer an individual who has no me...

The billing form for hospital claims - Answer UB04 (CMS 1450 & 8371) Lifetime reserve amounts are calculated based on a per day allowance at: - Answer 50% of the Medicare Part A deductible What is the coinsurance amount for days 1-20 for SNF care? - Answer $0.00 A clean claim is all of the ...

Which collection points are the patient most likely to pay during? - Answer Pre-admission and admission 5 collection control points - Answer -admission sion -house discharge discharge Which percentage should be pre-registered within 24 hours of service date? - Answer 70% to 90% Patie...

Identify federal agencies playing a major role in healthcare - Answer Department of Health and Human Services (BHHS) and Centers for Medicare and Medicaid Services (CMS) General provisions of major federal regulations - Answer Patient rights, Affordable care, Anti-Fraud and abuse, Credit and Coll...

ABN - Answer Advanced Beneficiary Notice ACF - Answer Administration for Children and Families ADC - Answer Average Daily Census AFDC - Answer Aid to Families with Dependent Children AHRQ - Answer Agency for Healthcare research and Quality ALOS - Answer Average Length of Stay AOA -...

Medicare will pay an inpatient only procedure on an outpatient claim - Answers If the patient died before admission RBRVS - Answers Resource based relative value scale The base value of a procedure in comparison to other procedures - Answers Relative value unit (RVU) 3 components of RVU - A...

What are the Federal Agencies that are part of the U.S. Department of Health and Human Services (HHS)? - Answer Centers of Medicare & Medicaid Services (CMS) Office of Inspector General (OIG) What are the HHS Operating Divisions? - Answer National Institutes of Health (NIH) Food and Drug Admini...

Also known as the Kennedy-Kassenbaum bill - Answer HIPAA Provides that a reported error must be corrected or explained within 2 billing cycles or 90 days - Answer Fair Credit Billing Act Formerly known as HCFA - Answer CMS Also known as Regulation Z - Answer Truth in Lending Act Was rece...