Aapc chapter 9 - Study guides, Class notes & Summaries

Case 7 - Clearinghouse Rejection Report Status: 7/6/20XX Contents: REJ - untimely filing; UTF Patient Name: Smith, Hattie Patient Number: MRN7862 Payer: AAPC Health Plan Submission Date: 7/5/X2 Date of Service: 12/23/X1 Charge: $1200.00 Provider: Dailey, David According to this clearinghouse rejection report, what actions should be taken on the claim for Hattie Smith, Date of Service 12/23/20X1?I. Review claim and ensure DOS is correct. If DOS is incorrect, correct claim and resubmit....

AAPC CPB - Chapter 9 Practical Application Questions 2024.Case 1 - Clearinghouse Rejections Report Status: 11/19/20XX Contents: C4450 - Principal Diagnosis Code must be valid; REJECTED BY SYSTEM EDI; Rejected Patient Name: Adams, David Patient Number: 384594 Payer: HEALTHSPRINGMEDICARE Submission Date: 11/19/XX Date of Service: 11/09/XX Charge: $557.00 Provider: Post, Alexis According to this clearinghouse rejections report, what actions should be taken on the claim for David Adams,...

AAPC CPB - Chapter 9 Quiz With Complete Answers 2024.When a claim has been paid, an EOB is sent to: a. the clearinghouse. b. the patient. c. the provider. d. the insurance company. - correct answer b. the patient. Cost based fee schedules are developed using which of the following: a. RBRVS methodology b. total costs of every procedure or service listed in the CPT® c. total cost of all of the procedures the physician will perform d. malpractice insurance and office operating cos...

AAPC CPB - Chapter 9 QuizWhen a claim has been paid, an EOB is sent to: a. the clearinghouse. b. the patient. c. the provider. d. the insurance company. - correct answer b. the patient. Cost based fee schedules are developed using which of the following: a. RBRVS methodology b. total costs of every procedure or service listed in the CPT® c. total cost of all of the procedures the physician will perform d. malpractice insurance and office operating costs - correct answer c. total ...

A ______ indicates the location or type of service provided for an inpatient and is reported with _______. a. Revenue code; four-digit code b. Revenue code; three-digit code c. CPT code; five-digit code d. MSDRG code; three-digit code - Answer a. Revenue code; four-digit code Which of the following documentation is NOT needed for an audit? a. Encounter form b. Medical record c. Explanation of Benefits d. CMS-1500 claim form - Answer c. Explanation of Benefits A clearinghous...

AAPC CPB - Chapter 9 Questions And Answers 2024

AAPC CPB - Chapter 9 Quiz When a claim has been paid, an EOB is sent to: a. the clearinghouse. b. the patient. c. the provider. d. the insurance company. - correct answer b. the patient. Cost based fee schedules are developed using which of the following: a. RBRVS methodology b. total costs of every procedure or service listed in the CPT® c. total cost of all of the procedures the physician will perform d. malpractice insurance and office operating costs - correct answer c. to...

A family has health insurance coverage from both the father and mother. The father's birthday is May 29, 1989 and the mother's birthday is May 26, 1990. Which insurance would be primary for their three children? A. The father's insurance would be primary because he was born before the mother. B. The mother's insurance would be secondary because she was born after the father. C. The mother's insurance would be primary based on the month and day of her birthday. D. The father's insuran...

A ______ indicates the location or type of service provided for an inpatient and is reported with _______. a. Revenue code; four-digit code b. Revenue code; three-digit code c. CPT code; five-digit code d. MSDRG code; three-digit code - correct answer a. Revenue code; four-digit code Which of the following documentation is NOT needed for an audit? a. Encounter form b. Medical record c. Explanation of Benefits d. CMS-1500 claim form - correct answer c. Explanation of Benefits A ...

A ______ indicates the location or type of service provided for an inpatient and is reported with _______. a. Revenue code; four-digit code b. Revenue code; three-digit code c. CPT code; five-digit code d. MSDRG code; three-digit code - ️️a. Revenue code; four-digit code Which of the following documentation is NOT needed for an audit? a. Encounter form b. Medical record c. Explanation of Benefits d. CMS-1500 claim form - ️️c. Explanation of Benefits A clearinghouse is a...