Rac chapter 3 test - Study guides, Class notes & Summaries

1. Reasonable / prudent According to the Transportation code: "No per- son shall drive a vehicle on a highway at a speed greater than is and under the circumstances then existing." 2. intentionally According to the Penal Code, a person acts , with respect to the nature of their conduct, when it is the conscious objective or desire to engage in the conduct or cause the result. 3. to the right or left of the subject 4. The right of the people to petition the government 5. Extensive use...

Through what document does a hospital establish compliance standards? - Correct answer-code of conduct What is the purpose OIG work plant? - Correct answer-Identify Acceptable compliance programs in various provider setting If a Medicare patient is admitted on Friday, what services fall within the three-day DRG window rule? - Correct answer-Non-diagnostic service provided on Tuesday through Friday What does a modifier allow a provider to do? - Correct answer-Report a specific circumstanc...

HFMA CRCR Exam with 100% Correct Answers 2023 Through what document does a hospital establish compliance standards? - Correct answer-code of conduct What is the purpose OIG work plant? - Correct answer-Identify Acceptable compliance programs in various provider setting If a Medicare patient is admitted on Friday, what services fall within the three-day DRG window rule? - Correct answer-Non-diagnostic service provided on Tuesday through Friday What does a modifier allow a provider to do?...

HFMA CRCR Exam with 100% Correct Answers 2023 Through what document does a hospital establish compliance standards? - Correct answer-code of conduct What is the purpose OIG work plant? - Correct answer-Identify Acceptable compliance programs in various provider setting If a Medicare patient is admitted on Friday, what services fall within the three-day DRG window rule? - Correct answer-Non-diagnostic service provided on Tuesday through Friday What does a modifier allow a provider to do?...

Test Bank Solution Manual for Coding Compliance Programs, Clinical Documentation Improvement, and Coding Medical Necessity Chapter 10-11 coding compliance - Answers is the conformity to established coding guidelines and regulations. ●Written policies and procedures, which are updated at least annually, and address clinical documentation improvement, downcoding/unbundling/upcoding, ethical coding, physician queries, using code editing software, and so on. ●Routine coding audits and monito...

Overall aggregate payments made to a hospice are subject to a computed "cap amount" calculated by - ANSWER-The Medicare Administrative Contractor (MAC) at the end of the hospice cap period Which of the following is required for participation in Medicaid - ANSWER-Meet Income and Assets Requirements In choosing a setting for patient financial discussions, organizations should first and foremost - ANSWER-Respect the patients privacy A nightly room charge will be incorrect if the patient...

Through what document does a hospital establish compliance standards? code of conduct What is the purpose OIG work plant? Identify Acceptable compliance programs in various provider setting If a Medicare patient is admitted on Friday, what services fall within the three-day DRG window rule? Non-diagnostic service provided on Tuesday through Friday What does a modifier allow a provider to do? Report a specific circumstance that affected a procedure or service without chan...

CRCR EXAM MULTIPLE CHOICE, CRCR Exam Prep, Certified Revenue Cycle Representative - CRCR 2023 What are collection agency fees based on? - CORRECT ANSWERSA percentage of dollars collected Self-funded benefit plans may choose to coordinate benefits using the gender rule or what other rule? - CORRECT ANSWERSBirthday In what type of payment methodology is a lump sum or bundled payment negotiated between the payer and some or all providers? - CORRECT ANSWERSCase rates What customer serv...

What are collection agency fees based on? - ANSWER-A percentage of dollars collected Self-funded benefit plans may choose to coordinate benefits using the gender rule or what other rule? - ANSWER-Birthday In what type of payment methodology is a lump sum or bundled payment negotiated between the payer and some or all providers? - ANSWER-Case rates What customer service improvements might improve the patient accounts department? - ANSWER-Holding staff accountable for customer service dur...