Medicare unlikely edits - Study guides, Class notes & Summaries

AHIMA CCS Exam Prep Questions With Complete Solutions (Verified And Updated) CPT defines a separate procedure as - answerProcedure considered an integral part of a more major service No combination code available - answerUse separate codes for hypertension and acute renal failure Documentation from the nursing staff or other allied health professionals' notes can be used to provide specificity for code assignment for which of the following diagnoses? - answerBody Mass Index (BMI) POA I...

CPB AAPC CH 7 COMPLETE TEST QUESTIONS 2024. Local Coverage Determination (LCD) - correct answer Decision made by a fiscal intermediary (FI) or a Medicare carrier about the services and items that are reasonable and necessary. LCD also decides if a particular service should be covered on an intermediary-wide basis, and it makes decisions about the services that is reasonable and necessary for certain diagnoses and procedures codes. Medicare Administrative Contractor (MAC) - correct answer A c...

CBCS Exam 2023/2024 with Question and 100% Correct Answers. Medical Billing & Coding as a Career - Correct answer-*Claims assistant professional or claims manager, *Coding Specialist, * Collection Manager, *Electronic Claims Processor, *Insurance Billing Specialist, * Insurance Coordinator, *Insurance Counselor, *Medical Biller, *Medical & Financial Records Manager, * Billing & Coding Specialist What are Medical Ethics? - Correct answer-Standards of conduct based on moral principle. They a...

CBCS Exam Study Guide Questions with Complete Rationales Medical Billing & Coding as a Career - ANS: *Claims assistant professional or claims manager, *Coding Specialist, * Collection Manager, *Electronic Claims Processor, *Insurance Billing Specialist, * Insurance Coordinator, *Insurance Counselor, *Medical Biller, *Medical & Financial Records Manager, * Billing & Coding Specialist What are Medical Ethics? - ANS: Standards of conduct based on moral principle. They are generally accepted a...

HCPCS Level II Exam Questions and Answers 100% Pass The HCPCS codes are -Answer-5 digits The first digit is a letter, followed by four numbers. The codes and descriptions are updated each year by CMS. The HCPCS Level II uses several symbols and conventions to alert coders to -Answer- key pieces of information related to code assignment and/or reimbursement. Examples include the -Answer-identification of new, revised, deleted, and reinstated codes and the identification of codes that repr...

1 CRCS EXAM | QUESTIONS & ANSWERS (VERIFIED) | LATEST UPDATE | GRADED A+ HHS Correct Answer: Health and Human Services CMS Correct Answer: Centers for Medicare and Medicaid Services HHS Correct Answer: U.S. Department of Health and Human Services NIH Correct Answer: National Institutes of Health FDA Correct Answer: Food and Drug Administration ACL Correct Answer: Administration for Community Living; one of the HHS Operating Divisions. 2 QIO Correct Answer: Quality Improveme...

AHIMA CCS Exam Prep Questions With Complete Solutions (Verified And Updated) CPT defines a separate procedure as - answerProcedure considered an integral part of a more major service No combination code available - answerUse separate codes for hypertension and acute renal failure Documentation from the nursing staff or other allied health professionals' notes can be used to provide specificity for code assignment for which of the following diagnoses? - answerBody Mass Index (BMI) POA I...

CPMA Exam Questions and Answers 100% Solved Which option is NOT part of the seven elements that should be included in a compliance plan based on the OIG's recommendations? a. Responding promptly to detected offenses and developing corrective action. b. Conducting effective training and education. c. Identifying employees on the exclusions list. d. Developing effective lines of communication. c. Identifying employees on the exclusions list. The OIG's Compliance Program Guidance for ...

CPMA Exam Questions and Answers 100% Solved Which option is NOT part of the seven elements that should be included in a compliance plan based on the OIG's recommendations? a. Responding promptly to detected offenses and developing corrective action. b. Conducting effective training and education. c. Identifying employees on the exclusions list. d. Developing effective lines of communication. c. Identifying employees on the exclusions list. The OIG's Compliance Program Guidance for ...

CCS Exam Prep Questions and Answers Latest Updated IPPS inpatient prospective payment system OPPS Outpatient Prospective Payment System fee-for-service (FFS) a written fee schedule for each treatment and/or service provided Diagnosis-related groups (DRGs) an episodic care payment system to hospitals for inpatient services based on standards of care for a specific diagnoses grouped by their similar usage of resources for procedures, service, and treatments MS-DRG ...