Facility practice rvu - Study guides, Class notes & Summaries

RBRVS correct answersResource-Based Relative Value Scale RBRVS System correct answersEstablished by Medicare to reimburse physicians based on CPT code submitted for reimbursement RVU correct answersEach CPT code has an assigned relative value unit which, when multiplied by conversion factor and a geographic region allowance , creates the reimbursement for the medical service the CPT code represents RVU Components correct answers1) Physician work- time, skill, training, and intensity of ...

AAPC Official CPC Certification Study Guide Notes "Hold harmless clause" - answer* found in some non-Medicare health plan contracts * prohibits billing to patient for anything beyond deductibles and co-pays. A compliance plan may offer several benefits, including: - answer* more accurate payment of claims * fewer billing mistakes * improved documentation and more accurate coding * less chance of violating self-referral and anti-kickback status A healthcare clearing house is a - answer...

AAPC Official CPC Certification Study Guide Notes 2023 "hold harmless clause" - ANS-* found in some non-Medicare health plan contracts * prohibits billing to patient for anything beyond deductibles and co-pays. A compliance plan may offer several benefits, including: - ANS-* more accurate payment of claims * fewer billing mistakes * improved documentation and more accurate coding * less chance of violating self-referral and anti-kickback status A healthcare clearing house is a - ANS...

What Act shaped how commercial insurance carriers approached the concepts of paying for medical care? - ANSWER-HMO Act of 1973 ACA - ANSWER-Affordable Care Act HMO (Health Maintenance Organization) - ANSWER-The organization is both the insurer and provider of a set of defined services. Patients within this network must use an in-network provider for their services to be covered. Capitation Payment - ANSWER-part of prospective payment in which healthcare providers receive fixed monthly p...

multiplied by conversion factor and a geographic region allowance , creates the reimbursement for the medical service the CPT code represents RVU Components - ANSWER-1) Physician work- time, skill, training, and intensity of service provided 2) Practice Expense - reflects the cost of ancillary personnel, supplies, and overhead 3) Professional Liability Malpractice Insurance Using RBRVS - ANSWER-CMS annually publishes Physician Fee Schedule information on its website and posts the fo...

CPB Practice Exam A Questions and Answers (100% Pass) The office policy for claims follow-up is to prioritize the insurance balance accounts past 90 days by highest outstanding balance. Based on the A/R report provided, which payer type and aging category would be one of the top priorities on which to focus collection efforts? - Answer️️ -workers' compensation, 121+ days Using the fee schedule and the payment policy provided, what is the expected reimbursement (including patient res...

CDEO Chapter 7 Exam Study Guide with Complete Solutions RBRVS - Answer️️ -Resource-Based Relative Value Scale RBRVS System - Answer️️ -Established by Medicare to reimburse physicians based on CPT code submitted for reimbursement RVU - Answer️️ -Each CPT code has an assigned relative value unit which, when multiplied by conversion factor and a geographic region allowance , creates the reimbursement for the medical service the CPT code represents RVU Components - Answer️️ -...

FACHE Board of Governor’s Exam Questions With Answers Latest Updated 2024 (Graded A+) According to the ACHE's Code of Ethics, one way that healthcare executives can avoid or minimize the negative implications of conflict of interest is to: a. Develop a public relations plan to address potential conflict-of-interest scenarios. b. Not participate in the specific decision where conflict may exist. c. Ensure members submit annual lists of major activities and holdings for inspections. d. Mak...

AAPC Official CPC Certification Study Guide Notes Already Graded A "hold harmless clause" * found in some non-Medicare health plan contracts * prohibits billing to patient for anything beyond deductibles and co-pays. A compliance plan may offer several benefits, including: * more accurate payment of claims * fewer billing mistakes * improved documentation and more accurate coding * less chance of violating self-referral and anti-kickback status A healthcare clearing house is a entity that pr...

FACHE Board of Governor’s Practice Exam Questions With Answers Latest Update 2023/2024 Graded A+. According to the ACHE's Code of Ethics, one way that healthcare executives can avoid or minimize the negative implications of conflict of interest is to: a. Develop a public relations plan to address potential conflict-of-interest scenarios. b. Not participate in the specific decision where conflict may exist. c. Ensure members submit annual lists of major activities and holdings for inspecti...