Prospective reimbursement - Study guides, Class notes & Summaries

C425 OA Review 2024 with 100% Complete Solutions Which of the following is true in regards to health care today in the United States? There are more primary care physicians than specialty physicians. Primary care receives a higher reimbursement in professional fees. There are more specialty physicians than primary physicians. Outpatient care is slowly decreasing. - Answer-There are more specialty physicians than primary physicians. What triggered the downsizing phase in the U.S. hospital...

RHIA Domain 4 Exam Questions with Complete Solutions Medicare administrative contractors - Answer-Multistate, regional, contractors responsible for administering both Medicare Part A & Part B claims Quality Improvement organization - Answer-Reviews inpatient hospital claims to prevent improper payment through DRG upcoming (Medicare) Outpatient code editor - Answer-A software program linked to the correct coding initiative that applies a set of logical rules to determine whether various ...

HSC 111 Final Exam - Questions and Answers (Complete Solutions) What is the central role of health services financing in the United States? a. Fund health insurance b. Underwrite medical risk c. Support managed care d. Balance the supply of health care professionals What is the primary mechanism that enables people to obtain health care services? a. Availability of services b. Health insurance c. Payment for services d. Control of expenditures The phenomenon called 'moral hazard' results dir...

Nursing home administrator Exam (James Allen) Questions with Complete Solutions. 1. The most likely single cause for the series of bankruptcies among larger nursing home chains around the year 2000 was ____. 1. Too small increases in government reimbursement rates 2. Paying too much for acquisitions in 1998 and 1999 3. Not taking advantage of falling interest rates 4. Thinking too small - Answer-2 2. In a chance conversation with the owner of an eight-facility chain, the newly hired admi...

1. The most likely single cause for the series of bankruptcies among larger nursing home chains around the year 2000 was ____. 1. Too small increases in government reimbursement rates 2. Paying too much for acquisitions in 1998 and 1999 3. Not taking advantage of falling interest rates 4. Thinking too small - Correct Answer 2 2. In a chance conversation with the owner of an eight-facility chain, the newly hired administrator for the oldest facility in the chain indicates that, because the...

1. The most likely single cause for the series of bankruptcies among larger nursing home chains around the year 2000 was ____. 1. Too small increases in government reimbursement rates 2. Paying too much for acquisitions in 1998 and 1999 3. Not taking advantage of falling interest rates 4. Thinking too small - 2 2. In a chance conversation with the owner of an eight-facility chain, the newly hired administrator for the oldest facility in the chain indicates that, because the mortgage is fu...

CHDA Exam With Complete Solutions Verified By Experts Alpha level ️️The level of Type I error that is deemed acceptable based on context in statistical hypothesis testing. See Type I error. Alternative hypothesis ️️The complement of the null hypothesis that is to be tested using the appropriate statistical test. This hypothesis typically requires some action to be taken. Ambulatory payment classification (APC) ️️The payment unit used in the hospital outpatient prospective ...

What step should you take if there is a discrepancy between the operative report and the procedure listed in the Procedure Title? Consult with the physician who performed the service Rationale: When there is a discrepancy between the operative report and the procedure listed in the Procedure Title, the coder should consult the physician who performed the service. If the provider is not available, the coder should code from the detail of the operative report To monitor reimbursement an...

Nursing home administrator Exam (James Allen) Questions with Complete Solutions. 1. The most likely single cause for the series of bankruptcies among larger nursing home chains around the year 2000 was ____. 1. Too small increases in government reimbursement rates 2. Paying too much for acquisitions in 1998 and 1999 3. Not taking advantage of falling interest rates 4. Thinking too small - Answer-2 2. In a chance conversation with the owner of an eight-facility chain, the newly hired admi...

MAP 114 final exam questions with verified solutions DME refers to _______________ includes crutches and wheelchairs durable medical equipment _____ was implemented to control cost of inpatient care and was implemented by CMS PPS centers for medicare and medicaid services CMS _________________ should consider all except billing the patient insurance specialists When are hospitals to report actual charges for in-patient care to payers after discharge ______________ are assoc...