Coc chapter 6 review - Study guides, Class notes & Summaries

HCCA CHC Final Exam Practice Questions With Answers (MASTER FLASHCARDS) | 100% Verified. At which level of the Medicare Part A or Part B appeals process is the appeal decision by the Office of Medicare Hearings and Appeals (OMHA)? a. first level of appeal b. second level of appeal c. third level of appeal d. fourth level of appeal - Answer-c. . third level of appeal Frist level - redetermination by Medicare contractor Second level - reconsideration by Independent contractor Third appeal...

CTR Exam Practice Test Latest Update Already Passed Cancer registry monitoring of facility case completeness should be performed On an ongoing basis __________________ staging provides a more precise description of the patient's extent of disease. Pathological (staging) Reference: CRM3 Section 3, Cancer Staging A major quality of NAACCR is: a. Provide standards for coding and staging b. Certify registries that meet national data quality standards c. Train and educate registry staff d. All...

HCCA - CHC (MASTER FLASHCARDS) Exam Questions With Answers Latest | Graded A+. According to HHS-OIG - what are three important reasons for proper documentation in Compliance? (hint: protections) - Answer-1.Protect our programs 2.Protect your patients 3.Protect the Provider #:~:text=Proper%20documentation%2C%20both%20in%20patients,to%20prot ect%20you%20the%20provider. At which level of the Medicare Part A or Part B appeals process is the appeal decision by the Office of Medicare Hearings...

CHC Random Study Questions With 100% Verified Answers Fill in the blank: The ___________ ____ Act further required that the HHS Secretary, in consultation with HHS- OIG, establish "core elements" for provider and supplier compliance programs within a particular industry or sector. - answerAffordable Care Pursuant to 42 C.F.R. §§ 422.503(b)(4)(vi), 423.504(b)(4)(vi), and as incorporated into Chapter 21, Section 30 of the "Medicare Managed Care Manual": All sponsors are required to a...

According to HHS-OIG - what are three important reasons for proper documentation in Compliance? 1.Protect our ___________________ 2.Protect your ___________________ 3.Protect the ___________________ 1.Protect our programs 2.Protect your patients 3.Protect the Provider At which level of the Medicare Part A or Part B appeals process is the appeal decision by the Office of Medicare Hearings and Appeals (OMHA)? a. first level of appeal b. second level of appeal c. third level of ...

HCCA - CHC Study Questions (MASTER FLASHCARDS) True or False: The ACA requires that all providers adopt a compliance plan as a condition of enrollment with Medicare, Medicaid, and Children's Health Insurance Program (CHIP). - ANS True ref. ACA section 6102 According to HHS-OIG - what are three important reasons for proper documentation in Compliance? (hint: protections) - ANS 1.Protect our programs 2.Protect your patients 3.Protect the Provider At which l...

COC, Chapter 6 review 2023 complete solutionModifiers used by the physician are approved for use by the facility. - ANSWERS-False. Facilities have approved modifiers. Not all CPT modifiers are approved for facility use. Rationale: Make sure the modifiers used for outpatient hospital facilities are approved for use in the facility. Keep in mind, not all CPT modifiers may be used in the hospital outpatient setting. Go to Appendix A. Look for Modifiers Approved for Ambulatory Surgery Center (ASC...

Fill in the blank: The ___________ ____ Act further required that the HHS Secretary, in consultation with HHS-OIG, establish "core elements" for provider and supplier compliance programs within a particular industry or sector. - Affordable Care Pursuant to 42 C.F.R. §§ 422.503(b)(4)(vi), 423.504(b)(4)(vi), and as incorporated into Chapter 21, Section 30 of the "Medicare Managed Care Manual": All sponsors are required to adopt and implement an effective compliance program, which ...

COC Chapter 6 review Question and answers with Rationales.2022 /2023 BEST study Guide.

What step should you take if there is a discrepancy between the operative report and the procedure listed in the Procedure Title? - Consult with the physician who performed the service Rationale: When there is a discrepancy between the operative report and the procedure listed in the Procedure Title, the coder should consult the physician who performed the service. If the provider is not available, the coder should code from the detail of the operative report To monitor reimbursement and...