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RHIA Domain 4 Exam | Questions And Answers Latest {} A+ Graded | 100% Verified
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RHIA Domain 4 Exam | Questions And Answers Latest {} A+ Graded | 100% Verified
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RHIA Domain 4 Exam | Questions And Answers Latest {2024- 2025} A+ Graded | 100%Verified
If there is more than one insurance - Must determine what is primary and secondary
Retrospective Review - To ensure a coding program is meeting its goals
First Step in Improving Documentation - Determine type and volume of documentation problems
Assumption Coding - CDI helps to prevent
Charge Description Master - Contains procedure or service charge
Unbundled Procedures - Claim will be rejected if a component is billed with procedure
Upcoding - Coding to a higher payment that actually reflects services
DNFB - accounts that have been discharged but not billed
Federal Trade Commission - Patients may file medical identity theft violations with
Orgs that Assist in Medicare Payment Review - MAC
RAC
QII
Risk Areas for Coding Audit - Chargemaster Description
Medical Necessity
, Licensure - Permission from state to operate
Recovery Audit Contractors - Reduce proper Medicare payments and prevent future improper patients
RBRVS - Work Value
Practice Expenses
Fair and Accurate Credit Transactions Act - Requires financial institutions to develop medical identity
theft programs
Time-Out - Patient
Procedure
Site
HIM dept reviews - Failed edits
Coverage determinations
A/R - Admission/Claim Drop to deposit in bank
Standard Increment for Acct Aging - 30 days
Medical Identity Theft - Demo and financial info is used to acquire medical services
No Query If - You do not think labs support diagnosis
Error Report - Clustering
Rule Out - Chief complaint as diagnosis
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