Facility practice rvu - Study guides, Class notes & Summaries

AAPC Official CPC Certification Study Guide Notes already passed graded A+"hold harmless clause" * found in some non-Medicare health plan contracts * prohibits billing to patient for anything beyond deductibles and co-pays. A compliance plan may offer several benefits, including: * more accurate payment of claims * fewer billing mistakes * improved documentation and more accurate coding * less chance of violating self-referral and anti-kickback status A healthcare clearing ...

CDEO Chapter 7 Exam Study Guide RBRVS - answerResource-Based Relative Value Scale RBRVS System - answerEstablished by Medicare to reimburse physicians based on CPT code submitted for reimbursement RVU - answerEach CPT code has an assigned relative value unit which, when multiplied by conversion factor and a geographic region allowance , creates the reimbursement for the medical service the CPT code represents RVU Components - answer1) Physician work- time, skill, training, and intensity o...

"hold harmless clause" - ANS * found in some non-Medicare health plan contracts * prohibits billing to patient for anything beyond deductibles and co-pays. A compliance plan may offer several benefits, including: - ANS * more accurate payment of claims * fewer billing mistakes * improved documentation and more accurate coding * less chance of violating self-referral and anti-kickback status A healthcare clearing house is a - ANS entity that processes nonstandard health information th...

RHIA EXAM PREP 169 Questions with Verified Answers A Staghorn calculus of the left renal pelvis was treated earlier in the week by lithotripsy and is now removed via a percutaneous nephrostomy tube. What is the root operation performed for this procedure? a. Destruction b. Extirpation c. Fragmentation d. Release - CORRECT ANSWER b. Extirpation ***Taking or cutting out solid matter from a body part Which type of data consists of *factual details* a *aggregated or summarized* from a...

CPB PRACTICE EXAM 1 Top Questions and answers. 100% Accurate. Rated A ________________________ is a legal proceeding involving a person that is unable to repay outstanding outstanding debts. A. Collection Agency B. Bankruptcy C. Dismissal of patient D. Bad debt - -B. Bankruptcy According to Chapter 30 of the Medicare Claims Processing Manual, any refund due a Medicare recipient must be made to the beneficiary within _____________ days. A. 5 B. 15 C. 30 D. 60 - -C. 30 The H...

Step-By-Step Medical Coding Chapter 1: Reimbursement, HIPAA, and Compliance 105 Questions with 100% Correct Answers – COMPLETE SOLUTION Document Content and Description Below Step-By-Step Medical Coding Chapter 1: Reimbursement, HIPAA, and Compliance 105 Questions with 100% Correct Answers – COMPLETE SOLUTION What 2 groups of persons were added to those eligible for Medicare benefits after the initial establishment of the Medicare program? - 1. Persons eligible for disability benefits from...

According to the ACHE's Code of Ethics, one way that healthcare executives can avoid or minimize the negative implications of conflict of interest is to: a. Develop a public relations plan to address potential conflict-of-interest scenarios. b. Not participate in the specific decision where conflict may exist. c. Ensure members submit annual lists of major activities and holdings for inspections. d. Make the conflict known to those in superior positions. -ANSWER d. Make the conflict known...

According to the ACHE's Code of Ethics, one way that healthcare executives can avoid or minimize the negative implications of conflict of interest is to: a. Develop a public relations plan to address potential conflict-of-interest scenarios. b. Not participate in the specific decision where conflict may exist. c. Ensure members submit annual lists of major activities and holdings for inspections. d. Make the conflict known to those in superior positions. - d. Make the conflict known to...

1 CRCS CERTIFICATION EXAM | QUESTIONS & ANSWERS (VERIFIED) | LATEST UPDATE | GRADED A+ CMS Correct Answer: Centers for Medicare and Medicaid Services and also one of the HHS operating divisions OIG Correct Answer: Office of Inspector General in DHHS. Monitors compliance with reimbursement laws & regulations Title XVIII Correct Answer: Medicare Title XIX Correct Answer: Medicaid HIPAA Correct Answer: Health Insurance Portability and Accountability Act HHS 2 Correct Answer: D...

A patient with ABC insurance is seen on May 1st, and the claim is submitted on July 15 of the same year. Has the claim met the timely filing deadline? a. Yes. All payers have the same timely filing deadline of one year from date of service. b. No. All payers have a 30-day timely filing deadline. c. Maybe. ABC's timely filing policy should be reviewed to determine if the deadline was met. d. Maybe. Prepare an appeal letter just in case the claim is denied. - Answer- c. Maybe. ABC's ...