Ffs fee for service - Study guides, Class notes & Summaries

Mr. Moy's wife has a Medicare Advantage plan, but he wants to understand what coverage Medicare Supplemental Insurance provides since his health care needs are different from his wife's needs. What could you tell Mr. Moy? a. Medicare Supplemental Insurance would cover all of his IRS approved health care expenditures not covered under Original Fee-for-Service (FFS) Medicare. b. Medicare Supplemental Insurance would cover his dental, vision and hearing services only. c. Medicare Supplemen...

12.1% - Answer # of improper Medicare Fee-For-Service claim payments, according to Federal Government. FFS - Answer Fee-For-Service Prepayment Review - Answer Review of claims prior to payment. Prepayment reviews result in an initial determination. Postpayment Review - Answer Review of claims after payment. May result in either no change to the initial determination or a revised determination, indicating an underpayment or overpayment. Underpayment - Answer A payment a prov...

Medical Billing and Coding Lesson 1: Reimbursement, HIPAA, and Compliance Already Passed The Medical Coder's Responsibility Each coding system plays a critical role in reimbursement. The role of the medical coder is to optimize payment while adhering to coding guidelines. The coder must accurately code the services, procedures, and diagnosis rendered so that the office is properly reimbursed. Coders may encounter ethical issues about upcoding a procedure or changing a diagnosis to ob...

12.1% - ANSWER # of improper Medicare Fee-For-Service claim payments, according to Federal Government. FFS - ANSWER Fee-For-Service Prepayment Review - ANSWER Review of claims prior to payment. Prepayment reviews result in an initial determination. Postpayment Review - ANSWER Review of claims after payment. May result in either no change to the initial determination or a revised determination, indicating an underpayment or overpayment. Underpayment - ANSWER A payment a provider recei...

Chapter 1 CPMA Exam Prep | Questions and Correct Answers | Latest Update 2024/2025 | 100% PASS 12.1% - Answer -# of improper Medicare Fee-For-Service claim payments, according to Federal Government. FFS - Answer -Fee-For-Service Prepayment Review - Answer -Review of claims prior to payment. Prepayment reviews result in an initial determination. Postpayment Review - Answer -Review of claims after payment. May result in either no change to the initial determination or a revised determin...

Mr. Wu is eligible for Medicare. He has limited financial resources but failed to qualify for the Part D low-income subsidy. Where might he turn for help with his prescription drug costs? (Ans- Mr. Wu may still qualify for help in paying Part D costs through his State Pharmaceutical Assistance Program. Mr. Bauer is 49 years old, but eighteen months ago he was declared disabled by the Social Security Administration and has been receiving disability payments. He is wondering whether he can ob...

AHIP MEDICARE TRAINING 2024 PRACTICE QUESTIONS AND ANSWERS 100% PASS Ms. Jensen has heard about "Original Fee-for-Service Medicare" and "Private Fee-for- Service" plans. She wants to know what the difference is if any. What should you tell her? - Correct Answer ️️ -PFFS plans are a type of Medicare Advantage plan offered by private companies. This year you decide to focus your efforts on marketing to employer and union groups. Which of the following statements best describes what...

Under the broad category of fee-for-service (FFS), what are the three main types of fee-for- service methodologies that were discussed in class? -Cost-Based -Charge-Based -Prospective Payments Select all of the TRUE statements about ICD Codes. -The greater the number of digits in the code, the more detailed the disease. -The codes currently consist of 3, 4, 5, 6, or 7 digits/characters -ICD- stands for International Classification of Diseases -ICD-10 is the current standard

AHIP Certification - Part 1 Questions and Answers 100% Pass Ms. Moore plans to retire when she turns 65 in a few months. She is in excellent health and will have considerable income when she retires. She is concerned that her income will make it impossible for her to qualify for Medicare. What could you tell her to address her concern? a. Eligibility for Medicare is based on whether or not a person has ever been employed by the federal government. If she or her husband were ever employed ...

2024 AHIP ACTUAL FINAL EXAMS (VERSIONS A, B, C & D) EACH EXAM CONTAINS 50 QUESTIONS AND DETAILED ANSWERS (100% CORRECT VERIFIED ANSWERS) / AHIP FINAL EXAM LATEST 2024 Mr. Bauer is 49 years old, but eighteen months ago he was declared disabled by the Social Security Administration and has been receiving disability payments. He is wondering whether he can obtain coverage under Medicare. What should you tell him - ANSWER-After receiving such disability payments for 24 months, he will b...