When billing medicaid - Study guides, Class notes & Summaries

HFMA: Healthcare Financial Management Association Exam (2024 / 2025) Questions and Verified Answers 1. Which of the following options is an alternative to valid long-term payment plans? ~ Answer: Bank loans 2. What type of plan restricts benefits for nonemergency care to approved providers only? ~ Answer: A PPO (preferred provider organization) plan 3. What does scheduling allow provider staff to do? ~ Answer: Review the appropriateness of the service requested 4. When an adult patient is covere...

Pharmacotherapeutics for Advanced Practice Nurse Prescribers 5th Edition Woo Robinson Test Bank Chapter 1. The Role of the Nurse Practitioner Multiple Choice Identify the choice that best completes the statement or answers the question. 1. Nurse practitioner prescriptive authority is regulated by: 1. The National Council of State Boards of Nursing 2. The U.S. Drug Enforcement Administration 3. The State Board of Nursing for each state 4. The State Board of Pharmacy 2. The...

NHA,CBCS | Questions and Verified Answers| 100% Correct| Grade A (2024/ 2025 Update) Q: A beneficiary of a Medicare/Medicaid crossover claim submitted by a participating provider is responsible for which of the following percentages? Answer: 0% Q: Which of the following coding manuals is used primarily to identify products, supplies, and services? Answer: HCPCS level II manual Q: A billing and coding specialist needs to know how much Medicare paid on a claim before b...

NP Role Final Exam 159 Questions with Verified Answers In which specialty are most nurse practitioners educated? Peds Primary care Family Adult gerontology - CORRECT ANSWER primary care Which factor represents a potential barrier to Nurse Practitioner's practice in a primary care setting? Cost effectiveness Professional growth Aging baby boomers Collaboration agreements - CORRECT ANSWER Collaboration agreements Distinguish among the advanced practice registered nursing (APRN...

True or False: The profession of physical therapy will not be affected by the full enactment of the Affordable Care Act (ACA). - False, the ACA will have affect on reimbursement of medicare and medicaid True or False: Undocumented immigrants are covered by the Affordable Health Care Act. - False What was the date for the final step of the Affordable Health Care Act to begin? - New Years Day 2014 True or False: When billing for Medicare, it doesn't matter what part of the country the provi...

DME refers to _______________ includes crutches and wheelchairs durable medical equipment _____ was implemented to control cost of inpatient care and was implemented by CMS PPS centers for medicare and medicaid services CMS _________________ should consider all except billing the patient insurance specialists When are hospitals to report actual charges for in-patient care to payers after discharge ______________ are associated with a particular category of inpatient and are established by ...

Medical Billing & Coding as a Career - Answer *Claims assistant professional or claims manager, *Coding Specialist, * Collection Manager, *Electronic Claims Processor, *Insurance Billing Specialist, * Insurance Coordinator, *Insurance Counselor, *Medical Biller, *Medical & Financial Records Manager, * Billing & Coding Specialist What are Medical Ethics? - Answer Standards of conduct based on moral principle. They are generally accepted as a guide for behavior towards pt's, dr's, co-wo...

NCCT Practice Test 2 Billing and Coding Real Exam 2024 Already Passed. CPT codes are - ANSWER ==5 digits An organization which provides a wide range of services for a specified group at a fixed periodic payment is termed an - ANSWER ==HMO TBSA refers to: - ANSWER ==Total body surface area There are two types of CPT codes, stand alone and: - ANSWER ==Indented Codes Services in which opinions of specialists are requested, are called: - ANSWER ==Consultations Examples of HCPCS Level II code...

NCCT Practice Test 2 Billing and Coding Real Exam 2024 Already Passed. CPT codes are - ANSWER ==5 digits An organization which provides a wide range of services for a specified group at a fixed periodic payment is termed an - ANSWER ==HMO TBSA refers to: - ANSWER ==Total body surface area There are two types of CPT codes, stand alone and: - ANSWER ==Indented Codes Services in which opinions of specialists are requested, are called: - ANSWER ==Consultations Examples of HCPCS Level II code...

What are Medical Ethics? - Answer-Standards of conduct based on moral principle. they are generally accepted as a guide for behavior towards pt's, dr's, coworkers, the gov, and ins co's What does acting within ethical behavior boundaries mean? - Answer-Carrying out one's responsibilities with integrity, dignity, respect, honesty, competence, fairness, and trust Compliance regulations - Answer-Most billing-related cases are based on HIPAA and False Claims Act Health Insurance Portabi...