Revenue per visit - Study guides, Class notes & Summaries

Midterm - 1265In the US, what is health insurance? - correct answer Reduction of a person's or a group's exposure to risk for unknown healthcare costs by the assumption of that risk by an entity Dr. Gilbert sees a 14-old-male with adolescent idiopathic thoracic scoliosis. Surgery for spinal fusion was canceled after the patient was diagnosed with mononucleosis. On today's visit, the patient is started on prednisone for severe sore throat and difficulty swallowing. The patient was accompani...

What Act shaped how commercial insurance carriers approached the concepts of paying for medical care? - ANSWER-HMO Act of 1973 ACA - ANSWER-Affordable Care Act HMO (Health Maintenance Organization) - ANSWER-The organization is both the insurer and provider of a set of defined services. Patients within this network must use an in-network provider for their services to be covered. Capitation Payment - ANSWER-part of prospective payment in which healthcare providers receive fixed monthly p...

CPPM Exam Prep Questions and Answers All Correct Revenue Per Visit (RPV) - Answers -Total amount collected divides by the total number of patient visits Advance Benefit Notification (ABN) - Answers -Notification given to patients advising Medicare may not cover a certain procedure or service Payment for fee for service is based on - Answers -CPT & HCPCS Level II MCO - Answers -Private Health Plan Place of Service (POS) determines correct reimbursement when - Answers -The profession...

RPB102 Study Set Questions And Answers 100% Verified. Patient Filing Order - correct answer.Every coverage the patient has ever had whether or not if it's still effective Prelude - correct answer.Enterprise Registration. Holds the basic patient, guarantor account, and coverage data. Cadence - correct answer.Scheduling. Schedule and check in visits. Collect visit specific data. Resolute Professional Billing - correct answer.Billing for professional services. UB and CMS clai...

Amanda is measuring the temperature. She looks at the thermometer and sees that it is somewhere between 65 and 66 degrees Fahrenheit. She is okay with the temperature in between two integers because she knows temperature is not ________ data, but temperature is _________ data.  a) Nominal, Ordinal  b) Nominal, Discrete  c) Continuous, Discrete  d) Discrete, Continuous Feedback: The correct answer is D. Temperature is not a measure that comes in increments (discrete) but is co...

HFMA's CSAF 2021, Certified Specialist Accounting and Finance Contribution Margin Difference between marginal revenue and marginal cost. Break-even point Level of sales volume of a product producing the exact amount of contribution margin needed to cover fixed costs. Overhead Indirect Costs Activity-based costing (ABC) Method of determining product costs using cost drivers or activity measures, which cause indirect costs to be incurred. Three main types of Cost standards. Predetermi...

ESB EXAM Study Guide Complete Questions (answered spring 2023) A beekeeper is analyzing the cash flow for his business for the prior year. What was the ending inventory value? A beekeeper wants to start a seasonal business renting hives to farmers to pollinate their orchards and crops. The beekeeper believes the business will cover its own costs after three months, and that start-up expenses for hives, trucking, and other costs through that same time will be $18,000. What is Total Financi...

Which part of the organizing process aids in effective and efficient progress toward planned goals and often results in changes within the organization? (Ans - Evaluating results What is the result of a company increasing the delegation of authority and the span of control? (Ans - Increased number of direct reports per manager Which two key elements does an effective organization include? (Ans - Human interaction, structure Why does a line organizational structure function m...

University of South Africa - AUE2601 - Auditing Theory And Practice EXAM PACK 2024 OCTOBER/NOVEMBER 2024 1.5) Password controls  Passwords should be unique to each individual (group passwords should not be used).  Passwords should consist of at least six characters, be random not obvious, and a mix of letters, numbers, upper/lower case and symbols.  Passwords/user-IDs for terminated or transferred personnel should be removed/disabled at the time of termination or transfer....

Calculate the following amounts for a participating provider who bills Medicare: Submitted charge (based on provider's regular fee for office visit) $ 75 Medicare physician fee schedule (PFS) $ 60 Coinsurance amount (paid by patient or supplemental insurance) $ 12 Medicare payment (80 percent of the allowed amount) $ ????? Medicare write-off (not to be paid by Medicare or the beneficiary) $ ????? correct answer: Medicare payment (80 percent of the allowed amount) $48 Medicare write-...