Medical billing review - Study guides, Class notes & Summaries

PTCB Pharmacy Billing and Reimbursement Practice Test Questions and Answers Latest Rated 100%. DAW/DNS stand for which of the following? A. Dispense as written B. Distribute and work C. Distribution and working D. Dispense as well 3. Which of the following third party plans requires the patient to designate a primary care physician (PCP)? A. Health maintenance organization (HMO) B. Preferred provider organization (PPO) C. Medicare Part D D. TRICARE 4. The cost of the coverage of an i...

CPCO EXAM REVIEW QUESTIONS AND ANSWERS, 100% ACCURATE. VERIFIED. The OIG consists of 6 departments: - -1.Immediate OIG — responsible for the overall fulfillment of the OIG's mission and for promoting effective management and quality of the agency's processes and products. 2.Office of Audit Services — performs independent audits of HHS programs and/or HHS grantees and contractors to examine their performance. 3.Office of Evaluation and Inspections — conducts national evaluations...

Analytical Methods of Healthcare Leaders - D514 Verified Answers In conversations with her patients, a physical therapist notices that patients who are on Workman's Compensation and have supportive supervisors, eager for them to return to work, have more positive outcomes in rehabilitation than those patients whose supervisors have a negative attitude toward their employee's injury: insisting they not return to work until they are at 100% because if anything less they are "useless t...

SCRIBE AMERICA OP FINAL EXAM REVIEW QUESTIONS AND ANSWERS, GRADED A+/ * "Patient is a 56 y/o male with CRF first diagnosed 3 years ago in acute exacerbation today. He reports decreased urinary output that has progressively worsened since onset 5 days ago. Creatinine and BUN elevated and worsening compared to last visit 3 weeks ago. Patient recommended emergency dialysis today and warned that he may be at risk for death and other complications if he does not seek further urgent medica...

Steps used to control costs of managed care include: - ANSWER-Bundled codes Capitation Payer and Provider to agree on reasonable payment DRG is used to classify - ANSWER-Inpatient admissions for the purpose of reimbursing hospitals for each case in a given category w/a negotiated fixed fee, regardless of the actual costs incurred Identify the various types of private health plan coverage - ANSWER-HMO Conventional PPO and POS HDHP/SO plans - high-deductible health plans with a savings...

Pharmacy Billing and Reimbursement PTCB Practice Test Questions and Answers Latest Rated A+. Which government insurance plans offers 4 different parts or areas of different coverage? A. MedicareB. Medicaid C. TRICARE D. CHAMPVA 2. DAW/DNS stand for which of the following? A. Dispense as written B. Distribute and work C. Distribution and working D. Dispense as well 3. Which of the following third party plans requires the patient to designate a primary care physician (PCP)? A. Health ...

What are medical coders? They translate healthcare provider's report of a patients visit into a procedure and/or diagnosis codes for billing purposes. What are medical billers? They submit the codes given by the medical coder as a claim for an insurance company to determine payment for the services. It is their responsibility checking for accuracy in transaction reports, creating bills for patients, creating formally correct claims, and collecting payments What is a claim? (Medical billin...

Example of health insurance abuse correct answersPerforming more tests than are necessary A durable power of attorney (POA) must be a blood relative of the patient correct answersFalse; Can be any competent person Minimum Necessary correct answersDisclose only what's necessary for intended purpose Document that states which medical treatments you want and don't want if you're unable to speak correct answersLiving will A way to prevent coding abuse correct answersReplace outdated c...

1. The respiratory care practitioner is conducting a patient interview. The main purpose of this interview is to: a. review data with the patient. b. gather subjective data from the patient. c. gather objective data from the patient. d. fill out the history form or checklist. ANS: B The interview is a meeting between the respiratory care practitioner and the patient. It allows the collection of subjective data about the patient’s feelings regarding his/her condition. The history shoul...

NRNP 6568 Final Exam Test Questions With Correc t Answers 2023 | 2024 (Already Graded) If an NP is at a social gathering and someone casually asks his/her medical opinion, that NP could be liable if something goes wrong. True or false? Selected Answer: True Answers: True Fals e  Question 10 1 out of 1 points Telemedicine is defined as Selected Answer: When care is provided remotely and the provider and patient are not physically present with each other Answers: When care is pro...