Rbrvs system - Study guides, Class notes & Summaries

©BRIGHTSTARS EXAM SOLUTIONS 10/21/2024 9:24 PM Mock CPB Exam Questions And Answers 100% Pass. Court decisions that establish a standard use legal decisions to serve as authoritative rules or patterns in future similar cases. The legal term for standard is ______. a. decision b. example c. precedent d. statute - answerprecedent Which is established in advance and based on reported health care charges from which a predetermined per diem rate is determined? a. prospective cost-based ra...

When undertaking an LHR (Legal Health Record) project the stakeholder group must include individuals from various levels of the organization. Which of the following should be included among the stakeholders? - correct answer information technology staff Which code set would be utilize to create a report showing a hospital's case mix index? - correct answer DRG The case-mix index (CMI) for a hospi...

ICD-10-CM The coding system that is used primarily for reporting diagnoses for hospital inpatients CPT coding systems created for reporting procedures and services performed by physicians in clinical practice? WHO ICD is maintained by lessons learned from RAC demonstration -RACs are able to find large volume of improper payments -Overpayments collected were significantly greater than the programs costs -Providers do not appeal every overpayment determination - RACs willing to spend time on pr...

Which service is reimbursed based on the APC payment method? correct answersPatient X-ray of left foot in the outpatient department Rationale: The APC system is a payment methodology for outpatient, or ambulatory, facility services. It does not include the professional component of ambulatory care, which is paid under the Resource-Based Relative Value Scale (RBRVS) methodology. Also it does not include services and procedures that require inpatient care and/or procedures paid under an existing f...

The nominal group technique gives each member of the team an opportunity to select the most important ideas from an affinity diagram. This technique allows groups to do which of the following? - correct answer Narrow the focus of discussion without extended involvement You are asked to write a report to capture patient injuries by diagnosis code. To determine which injuries happened while the patient was in the hospital, you look to the present o...

COC 2020 - FINAL EXAM QUESTIONS W/O CODES (SET 6) Which service is reimbursed based on the APC payment method? - Patient X-ray of left foot in the outpatient department Rationale: The APC system is a payment methodology for outpatient, or ambulatory, facility services. It does not include the professional component of ambulatory care, which is paid under the Resource-Based Relative Value Scale (RBRVS) methodology. Also it does not include services and procedures that require inpatient ...

CHPS Exam Prep 164 Questions with Verified Answers In order to ensure a successful implementation of electronic health records, the organization must identify and define strategic roles. These planning roles may be defined in three categories:leadership, internal stakeholders, and external stakeholders. The governing body (board) is an example of which of the following? - CORRECT ANSWER Leadership only Which of the following statements most accurately describes the optimal relationship bet...

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 -...

certified paraoptometric coder exam answered correctly| 2024 latest update certified paraoptometric coder exam answered correctly| 2024 latest update 24 - Answer What modifier is commonly used if a provider performs an unrelated office visit during a post operative period? Patient encounter documented using a certified EHR system - Answer PQRS measure G8477 refers to what? Zonules - Answer What are radially arranged natural fibers in the eye that suspend the crystalline lens from the...

Certified Paraoptometric Coder Questions and Answers Rated A 24 - Answer ️️ -What modifier is commonly used if a provider performs an unrelated office visit during a post operative period? Patient encounter documented using a certified EHR system - Answer ️️ -PQRS measure G8477 refers to what? Zonules - Answer ️️ -What are radially arranged natural fibers in the eye that suspend the crystalline lens from the ciliary body and hold it in position? face down/ palm down - Answer ...