Chargemaster Study guides, Class notes & Summaries

The term used to indicate that the service or procedure is reasonable and necessary for the diagnosis or treatment of illness or injury consistent with generally accepted standards of care is 1. appropriateness. 2. evidence-based medicine. 3. benchmarking. 4. medical necessity. (Ans- 4. medical necessity. Use the following table to answer the question. (See the word file) This information is the numerical identification of the service or supply. Each item has a unique number with a...

RHIA Domain 5 Exam Questions with Revised Answers Which of the following best describes an example of a consumer engagement activity in which HIM professionals might engage? a. Coding roundtables b. Chargemaster updates c. Patient portal training d. New employee orientation - Answer-C Consumer engagement activities both educate the consumer and make them more responsible for their personal health and health information. Patient portal training helps the consumer to better manage their ow...

________ is when the provider has limited access to payer and patient data elements on their patients only. - Extranet An extranet is a private computer network allowing controlled access to the payer's system. The provider has limited access to payer and patient data elements on their patients only. 1992 US federal government implemented a standardized physician payment schedule utilizing resourcebased relative value scale - RBRVS A batch of claims is submitted to the clearinghouse for pr...

HIT 203 - Chapter 7 Review Questions with Complete Solutions What term is used to describe the process of submitting claims for reimbursement, denials, billing matters, accounting, and any other issues or follow up on claims? a. Deterministic algorithm b. Revenue cycle c. R-ADT d. Chargemaster b. Revenue cycle What is the name of the financial management software that contains information about the healthcare facility's charges for the services it provides to patients? a. Dete...

RHIA Prep Exam Questions with Correct Answers Two clerks are abstracting data for a registry. When their work is checked, discrepancies are found between similar data abstracted by the two clerks. Which data quality component is lacking? a. Completeness b. Validity c. Reliability d. Timeliness - Answer-C. Reliability Although an addressable implementation specification, this reduces or prevents access and viewing of ePHI. a. Data management technology b. Encryption c. Decryption d....

Patient demographics refers to: Address, phone number, emergency contact, employer information, copy of patient's identification. Rationale: The staff registering the patient will obtain the patient's demographics (address, phone number, emergency contact, employer information, copy of the patient's identification). The following is TRUE about the chargemaster: It must be updated when coding changes occur. Rationale: A department review should be performed at least annually ...

AHA correct answer: American Hospital Association ANSI correct answer: American National Standards Institute APC correct answer: Ambulatory Payment Classification A/R correct answer: Accounts Receivable AWV correct answer: Annual Wellness visit CAH correct answer: Critical Access Hospital CDM correct answer: Charge Description Master (Chargemaster) CHIP (SCHIP) correct answer: Children's Health Insurance Program (formerly State Children's Health Insurance Program) ...

__________ are implemented prior to an activity to stop an error from occurring. correct answer: Preventative controls ________are designed to find errors that have already been made. correct answer: Detective controls _______- are designed to fix problems that have been discovered (LaTour, et al., 2013, 783). correct answer: Corrective controls The Office of the Inspector General (OIG) is a division of the U.S. Department of _______ correct answer: Health & Human Services (HHS). ...

RHIT 9 Exam Questions with Correct Answers The type of hospital that is considered excluded when it applied for and receives a waiver from CMS. This means that the hospital does not participate in the IPPS. - Answer-cancer hospital These are financial protections to ensure that certain types of facilities recoup all of their losses due to the differences in the APC payments and the pre-APC payments. - Answer-hold harmless This information is printed on the UB-04 claim form to represent ...

NCDs are released by which of the following entities: - CMS A health plan sends a request for medical records in order to adjudicate a claim. Does the office have to notify the patient or have them sign a release to send the information? - no ____ sets standards and directives to protect workers against transmission of infectious agents. - OSHA ________ is when the provider has limited access to payer and patient data elements on their patients only. - extranet "with contrast" does not ...