Coding compliance plan - Study guides, Class notes & Summaries

NURS 242 Exam 2 Galen College Of Nursing -Question and answers already passed NURS 242 Exam 2 *Health Insurance Portability and Accountability Act (HIPAA) of 1996* - correct answer Right to confidentiality. Releasing information as minimal and necessary. Not letting information be overheard or obtained when it should not be. Simplification plan is directed at restructuring the coding and health information to simplify the digital exchange of information among health care providers and to...

Medical Billing and Coding Practice Test with Complete Solutions Which of the following Medicare policies determines if a particular item or service is covered by Medicare? National Coverage Determination (NCD) Which of the following is considered the final determination of the issues involving settlement of an insurance claim? Adjudication A form that contains charges, DOS, CPT codes, ICD codes, fees and copayment information Encounter Form A patient comes to the hospital for ...

Under HIPAA, what would be a policy requirement for minimum necessary? - correct answer Only individuals whose job requires it may have access to protected health information Which Act was enacted as part of the American Recovery and Reinvestment Act (ARRA) of 2009 and affected privacy and security? - correct answer HITECH What document assists provider offices with the development of compliance manuals? - correct answer OIG Compliance Plan Guidance What type of profession, other ...

When non-compliance is identified, what does the OIG recommended? a .Take disciplinary action and document the date of the incident, name of the reporting party, name of the person responsible for taking action, and the follow-up action taken. b. Take disciplinary action and document the date of the incident, name of the reporting party, name of the person responsible for taking action,and the follow-up action taken. c. Immediately terminate employment for the party found in non-complia...

NHA CBCS CERTIFICATION EXAM QUESTIONS AND ANSWERS 100% PASS Which of the following is considered the final determination of the issues involving settlement of an insurance claim? - Correct Answer ️️ -Adjudication A form that contains charges, DOS, CPT codes, ICD codes, fees and copayment information is called which of the following? - Correct Answer ️️ -Encounter form A patient comes to the hospital for an inpatient procedure. Which of the following hospital staff members is respo...

NHA Medical Coding and billing exam Questions and Answers 100% Pass Place of Service - Correct Answer ️️ -Billing and coding specialists should first divide the E & M Code by Privacy Officer - Correct Answer ️️ -Compliant with HIPPA the following position should be assigned in each office Principal Diagnosis - Correct Answer ️️ -Coding on the UB-04 Form, must sequence the diagnosis code. Which is the first listed diagnosis? Urethratresia - Correct Answer ️️ -Obstruction o...

according to CPT, a repair of a laceration that includes retention sutures would be considered what type of closure? complex closure identify the 2 digit modifier that may be reported to indicate a doctor performed the postoperative management of a patient, but ANOTHER doctor performed the surgical procedure: -55 according to the QHDDS, what is the definition of "other diagnoses"? "other diagnoses" is interpreted as additional conditions that affect patient care in terms of ...

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). True ref. ACA section 6102 According to HHS-OIG - what are three important reasons for proper documentation in Compliance? (hint: protections) 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 decisi...

When non-compliance is identified, what does the OIG recommended? a .Take disciplinary action and document the date of the incident, name of the reporting party, name of the person responsible for taking action, and the follow-up action taken. b. Take disciplinary action and document the date of the incident, name of the reporting party, name of the person responsible for taking action,and the follow-up action taken. c. Immediately terminate employment for the party found in noncompl...

CRCR Exam Prep Questions and Answers 100% Verified and Updated 2024 HFMA -Answer-Healthcare Financial Management Association Revenue Cycle Overview: What are the 3 segments? -Answer-Pre-Service, Time of Service, Post-Service Scheduling is part of which segment of the Revenue Cycle? -Answer-Pre-service Patient-Centric Revenue Cycle -Answer-1) Engaged Consumer 2) Engaged Patient 3) Satisfied Customer Healthcare Dollars & Sense -Answer-1) Price Transparency 2) Patient Financial Communicat...