Birthday rule - Study guides, Class notes & Summaries

Joe and Mary are a married couple and both carry insurance from their employers. Joe was born on February 23, 1977 and Mary was born on April 4, 1974. Using the birthday rule, who carries the primary insurance for their children for billing? A. Joe, because he is the male head of the household. B. Mary, because her date of birth is the 4th and Joe's date of birth is the 23rd. C. Mary, because her birth year is before Joe's birth year. D. Joe, because his birth month and day are be...

NHA CBCS Practice Test Questions with 100% Correct Answers | Verified | Latest Update Which of the following sections of the medical record is used to determine the correct evaluation and management code used for billing and coding? history and physical A billing and coding specialist is reviewing a CMS-1500 claim form. The "assignment of benefits" box has been checked "yes." The checked box indicates which of the following? The provider receives payment directly from the payer ...

What are collection agency fees based on? - A percentage of dollars collected Self-funded benefit plans may choose to coordinate benefits using the gender rule or what other rule? - Birthday In what type of payment methodology is a lump sum or bundled payment negotiated between the payer and some or all providers? - Case rates What customer service improvements might improve the patient accounts department? - Holding staff accountable for customer service during performance reviews What i...

An insurance and coding specialist is reviewing a patient's encounter form that is documented in the medical record prior to competing a CMS-1500 form. She notices that the physician upcoded the encounter form. The specialist has the ethical obligation to first Correct Answer: query the physician A patient had surgery two weeks ago to repair a dislocated ankle, and returns today to have a flexor tendon in the hand repaired. Which of the following modifiers should be reported for today's se...

AAPC CPB Practice UPDATED Actual Exam Questions and CORRECT Answers Joe and Mary are a married couple and both carry insurance from their employers. Joe was born on February 23, 1977 and Mary was born on April 4, 1974. Using the birthday rule, who carries the primary insurance for their children for billing? A. Joe, because he is the male head of the household. B. Mary, because her date of birth is the 4th and Joe's date of birth is the 23rd. C. Mary, because her birth year is bef...

CHAA 2024 Study Guide with Complete Solutions A financial counselor/Financial Assistance In accordance with Section 501(r) regulations through the Affordable Care Act, a hospital must establish a written financial assistance policy and make it available to patients. Batch Processing Execution of a series of jobs in a computer program without manual intervention; it is used to help maximize the use of computer resources and stabilize response time by performing system-intensive work ...

What are collection agency fees based on? - CORRECT ANSWER-A percentage of dollars collected Self-funded benefit plans may choose to coordinate benefits using the gender rule or what other rule? - CORRECT ANSWER-Birthday In what type of payment methodology is a lump sum or bundled payment negotiated between the payer and some or all providers? - CORRECT ANSWER-Case rates What customer service improvements might improve the patient accounts department? - CORRECT ANSWER-Holding staff accou...

Medical Billing and Coding Questions and Answers Already Passed Which of the following is an example of health insurance abuse? Performing more tests than are necessary. A durable power of attorney (POA) must be a blood relative of the patient. False Under the HIPAA Privacy Rule, what does "minimum necessary" mean? Disclose only what is necessary for the intended purpose. What's the term for the document that states which medical treatments you want and don't want if you're ...

CRCR Exam Prep: NEWEST ACTUAL TEST 140 QUESTIONS AND CORRECT DETAILED ANSWERS WITH RATIONALES|ALREADY GRADED A+ What are collection agency fees based on? - Selected Answer-A percentage of dollars collected Self-funded benefit plans may choose to coordinate benefits using the gender rule or what other rule? - Selected Answer-Birthday In what type of payment methodology is a lump sum or bundled payment negotiated between the payer and some or all providers? - Selected Answer-Case rates ...

CRCR EXAM MULTIPLE CHOICE, CRCR Exam Prep, Certified Revenue Cycle Representative - CRCR (2023/2024) What are collection agency fees based on? A percentage of dollars collected Self-funded benefit plans may choose to coordinate benefits using the gender rule or what other rule? Birthday In what type of payment methodology is a lump sum or bundled payment negotiated between the payer and some or all providers? Case rates What customer service improvements might improve the patient accoun...