Audit retrospective - Study guides, Class notes & Summaries

Compliance 101 - Glossary of Compliance Terms 2023/2024 questions and answers Anti-Kickback Statute - answer-Prohibits the solicitation, receiving, offering, or paying of any remuneration directly or indirectly in cash or in-kind exchange. Attestation - answer-The affirmation by signature, usually on a printed form, that the action outlined has been accomplished by the individual signing; e.g., the individual has read the code of conduct and agreed to adhere to its principles. Attorney-Cl...

CRC Practice Exam Review questions With 100% Correct Answers Which of the following medications are prescribed to cancer patients to eradicate the cancer or for prophylaxis? I. Tamoxifen II. Anastrozole III. Januvia IV. Crestor - answerI and II The definition of a best medical record for a RADV audit is: A. Documentation validates the CMS requested HCCs, contains all the necessary documentation elements and has an additional HCC not requested by CMS B. Documentation that validates all...

Property and Casualty Insurance Basics Latest 2024 Graded A+ INSURABLE INTEREST an economic interest in a property that must exist at the time of loss (you can insure the equity interest in your own home) UNDERWRITING classifies the applicant based upon the underwriting requirements of the insurer; matches the risk presented with the premium charged by the insurer LOSS RATIO percentage of claims paid in comparison to total premiums collected during a particular period of time R...

CRC Practice Exam Review questions With 100% Correct Answers Which of the following medications are prescribed to cancer patients to eradicate the cancer or for prophylaxis? I. Tamoxifen II. Anastrozole III. Januvia IV. Crestor - answerI and II The definition of a best medical record for a RADV audit is: A. Documentation validates the CMS requested HCCs, contains all the necessary documentation elements and has an additional HCC not requested by CMS B. Documentation that validates all...

CHC exam questions and answers 2024 Chapter 8 Federal Sentencing Guidelines (FSG) -Answer-Guidelines and policy in this section apply to sentencing in federal criminal prosecution when the convicted defendant is an organization FSG- 4 factors that increase ultimate punishment of an organization -Answer- 1.Involvement in or tolerance of criminal activity 2.Prior history of the organization 3.The violation of an order 4.The obstruction of justice FSG- The two factors that mitigate the ult...

RHIA Domain 3 2021 Exam Questions with Correct Answers Which application uses statistical techniques to determine the likelihood of certain events occurring together? - Answer-Predictive modeling The following question was typed into the system: How many patients were discharged on November 12, 2020? This is an example of what type of query? - Answer-Natural language query The generic formula for calculating rate of occurrence is used to calculate hospital-acquired infections in an intens...

CMCA PRACTICE EXAM 136 Questions with Verified Answers The Joint Commission (JC) requires the Factors that Affect Learning must be assessed for a hospital or hospital owned physician practice as well as other health care facilities. When assessing this element what does this include? A. The patient's ability to read, method of learning and understanding. B. Any language or physical disabilities. C. Cultural beliefs. D. All the above - CORRECT ANSWER D. All the above Report cop...

AAPC - CRC TEST 1 LATEST UPDATE ALREADY PASSED Which of the following medications are prescribed to cancer patients to eradicate the cancer or for prophylaxis? I. Tamoxifen II. Anastrozole III. Januvia IV. Crestor A. I and II B. I and III C. II and III D. I, II, III and IV A. I and II The definition of a best medical record for a RADV audit is: A. Documentation validates the CMS requested HCCs, contains all the necessary documentation elements and has an additional HCC not requested by CMS B. ...

Risk Adjustment CRC exam questions With Verified Answers Interactions - answerWhat are extra RA values or factors added when a patient has more than one major significant dx identified in model ? Quality, Promoting Interoperability, Improvement Activity, Cost - answerMIPS Collection Types Categories When are Star Ratings publicly published? - answerOctober of each year HEDIS types of collection - answerSurveys, Medical Chart Reviews, Insurance Claims, Medical Office Visits, Procedures W...

1. What term describes the use of historical knowledge of short-term and long-term fluctuations in census to plan budgetary costs related to staffing needs? Retrospective audit Forecasting Strategic Plan Prospective payment system correct answer: Forecasting 2. When detailing the budget, which of the following costs would the nurse manager identify as a variable and controllable expense? Mortgage payment for new building Unit supervisor's salary Unit supplies for wound dressings Equ...