Denials which of t - Study guides, Class notes & Summaries

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 rate; one of the elements of disclosure required by the Truth in lending act ASSIGNMENT OF BENEFITS - Answer a written authorization, signed by the policyholder(or the patient, in the absence of the...

ACMA EXAM STUDY MATERIAL QUESTIONS WITH CORRECT ANSWERS ALREADY PASSED!! UR committee · Consists of >2 practitioners, > 2 must be doctors of medicine/osteopathy. · Must be 1: Institution staff committee; group outside institution; established by local med society & some/all of local hospitals; established manner CMS approved · May not be conducted by person w/direct financial interest in hospital or prof involved in care of pt who's case is under review utilization review Hospi...

According to CPT, a repair of a laceration that includes retention sutures would be considered what type of closure? a. complex b. intermediate c. not specified d. simple - Answer a. Complex A skin lesion is removed from a patient's cheek in the dermatologist's office. The dermatologist documents "skin lesion" in the health record. Prior to billing the pathology report returns with a diagnosis of basal cell carcinoma. Which of the following actions should the coding professional do fo...

A choledochal cyst is a cyst originating from which structure? - Common bile duct A character's position can be understood as which type of classification that allows different specific values to be inserted into that space, and whose physical position remains stable? - Semi-independent A code from categories Q00-Q99 can be used until the patient reaches what age? Refer to ICD-10-CM guideline I.C.17. - • They can be used throughout the life of the patient unless it has been cor...

CEBS GBA Exam 1 Questions And Answers 2024 Broad view of Employee Benefits (Mod 1.1) - correct answer-Considers Employee Benefits to be virtually any form of compensation other than direct wages paid to Employees (Ex: WC, Unemployment, State DI, SS, Vacation, Holidays, 401K/Retirement, Employer share of Medical, Severance Pay, Child Care, etc..) Narrow view of Employee Benefits (Mod 1.1) - correct answer-Any type of plan sponsored or initiated by Employees and Employers and engaged in prov...

BOP consists of ______ members - Correct answer-7 No more than _______ members of the BOP can be from the same political party - Correct answer-4 One member of the BOP must be..... - Correct answer-IN resident with no affiliation with pharmacy One member of the BOP must be a practicing ________ pharmacist. Others must be from varied practice settings - Correct answer-hospital Who appoints members of the BOP? - Correct answer-governor T/F: The BOP may contain a COP professor or full-time ...

CRCR Certification Exam 372 Questions with Answers 2023 The disadvantages of outsourcing include all of the following EXCEPT: a) The impact of customer service or patient relations b) The impact of loss of direct control of accounts receivable services c) Increased costs due to vendor ineffectiveness d) Reduced internal staffing costs and a reliance on outsourced staff - CORRECT ANSWERSd) Reduced internal staffing costs and a reliance on outsourced staff The Medicare fee-for service ap...

Florida Claims Adjuster Exam Latest Questions With Verified Answers || Graded A+ 1) While selling an Automobile policy to a customer, an agent tells them that they are also required to purchase an Emergency Road Service Plan, even though that is not true. This is an example of: A. Misrepresentation B. Lack of Fitness C. Deception D. Sliding - ANSWER D. Sliding 2) After pleading guilty or no contest to a felony, a licensed individual has _________ days to inform t...

Green Belt - Exam Practice Questions & Answers_2022. 1. 5S is a system to reduce waste and optimize productivity through maintaining an orderly workplace and using visual cues to achieve more consistent operational results. Implementation of this method "cleans up" and organizes the workplace basically in its existing configuration, and it is typically the first lean method which organizations implement. Which of the following activities is NOT part of the 5S approach? A. Standardize and...

Indiana MPJE | 363 Questions with 100% Correct Answers BOP consists of ______ members Correct Answer: 7 No more than _______ members of the BOP can be from the same political party Correct Answer: 4 One member of the BOP must be..... Correct Answer: IN resident with no affiliation with pharmacy One member of the BOP must be a practicing ________ pharmacist. Others must be from varied practice settings Correct Answer: hospital Who appoints members of the BOP? Correct Answer: g...