According to cms - Study guides, Class notes & Summaries

Certified Provider Credentialing Specialist (CPCS) Study Guide (2023/2024) Rated A+ Certified Provider Credentialing Specialist The Certified Provider Credentialing Specialist (CPCS) is typically employed or contracted by a healthcare organization including, but not limited to, hospitals (health systems), health plans, ambulatory care settings, group practices, and credentialing verification organizations. Initial Appointment / Clinical privileges/ practioners covered according to the TJC All l...

AAPC CPC Exam Questions and Answers 2023 What type of provider goes through approximately 26 1/2 months of education and is licensed to practice medicine with the oversight of a physician? Physician Assistant (PA) The ____ describes whether specific medical items, services, treatment procedures, or technologies are considered medically necessary under Medicare National Coverage Determinations LCD's only have jurisdiction in their ____ area. Regional ABN stands for Adva...

What is the meaning of provider in the ICD-10-CM guidelines? - The physican The terms malignant, benign, in situ, and uncertain behavior are all terms used when coding what? - Neoplasms What is an example of an eponym? - Paget's disease Who are the parties responsible for providing the ICD-10-CM guidelines? - NCHS and CMS Rationale: ICD-10-CM guidelines introduction states, Centers for Medicare & Medicaid Services (CMS) and the National Center for Health Statistics (NCHS) provide the guid...

1. A financial counselor/Financial Assistance: In accordance with Section 501(r) regulations through the Affordable Care Act, a hospital must establish a written financial assistance policy and make it available to patients. 2. Batch Processing: Execution of a series of jobs in a computer program without manual intervention; it is used to help maximize the use of computer resources and stabilize response time by performing system-intensive work during hours when users are less likely to require...

Gene got Medicare before he turned 65 and enrolled into a Medicare Advantage plan. He calls in February the month before his 65th birthday and is unhappy with his current plan. On the date of the call, what can Gene do about his coverage? On the day he called, he can enroll in a different Medicare Advantage plan with an effective date of March 1. Mrs. Violet asks agent Bob where she can find the Star Rating for the plan he has been presenting. Which statement is correct? Mrs. Violet can...

What two accreditors state: a hospital may not rely solely on board certification when considering practitioner for medical staff membership? - HFAP, CMS According to JC & HFAP name four approved sources PSV for Medical Education - Medical School, AMA, ECFMG, AOA According to NCQA practitioners must be notified of credentialing decision within how many days? - 60 Days The DHHS mails a copy of the NPDB report to the named provider. If the provider wishes to dispute the reports accuracy, th...

CPCO Test Prep | 36 Questions with 100% Correct Answers | Latest Update 2024 | Rated A+ Does Medicare pay for all tests ordered by Providers? - No, they need to determine if it's covered and medically necessary. For larger physician practices, how often does the OIG suggest reporting compliance activities to the board of directors? - Regularly According to the OIG, medically unnecessary services can be billed to Medicare for what purpose? - To receive a denial so a claim can be submitted...

Name two key components that make up Sitecore XP. - Experience CMS and marketing platform What should you do before contacting support? - Refer to Help Desk best practices What are your responsibilities as a developer? - Build according to recommended practices Name three Sitecore interfaces - Desktop, Content Editor, Experience Editor Everything in Sitecore is an... - Item An item is not a... - File An item's URL is determined by... - It's position in the Content tree

NHA Phlebotomy 1. What temperature should a semen sample be transported? - ANSWER-36-38 degrees C 2. Which of the following would result in a grossly hemolyzed specimen? a. Incorrect order of draw b. Incorrect needle gauge c. Applying tourniquet too close to the draw site d. Failure to invert tube - ANSWER-b. Incorrect needle gauge 3. Which of the following is proper procedure after collecting ammonia specimen? a. Protect from light b. Keep specimen warm c. Keep specimen at body...

CPCS - Certified Provider Credentialing Specialist Questions and Answers 100% Pass Are limitations of the clinical privileges of a psychiatrist for more than 30 days reportable to the NPDB? Yes According to TJC, who may amend the medical staff bylaws? Governing body/board. Failure to meet the established qualifications and criteria for appointment should be reported to whom? The applicant NCQA requires the MCO to obtain a minimum of how may years of work history? Five years According to the...