Preauthorization - Study guides, Class notes & Summaries

TEST BANK PRINCIPLES OF PEDIATRIC NURSING CARING FOR CHILDREN 7TH EDITION BY BALLTable of Contents Chapter 1 Nurse's Role in Care of the Child: Hospital, Community, and Home ............................................ 2 Chapter 2 Family-Centered Care and Cultural Considerations .......................................................................... 16 Chapter 3 Genetic and Genomic Influences ........................................................................................................

60-year-old woman is seeking help to quit smoking. She makes an appointment to see Dr. Lung for an initial visit. The patient has a constant cough due to smoking and some shortness of breath. No night sweats, weight loss, night fever, CP, headache, or dizziness. She has tried patches and nicotine gum, which has not helped. Patient has been smoking for 40 years and smokes 2 packs per day. She has a family history of emphysema. A limited three system exam was performed. Dr. Lung discussed in d...

NHA,CBCS Study Guide (2024/ 2025 Update) | Questions and Verified Answers| 100% Correct| A Grade Explain the difference between fraud and abuse? Answer: Fraud - intentionally misrepresenting services rendered for the purpose of receiving a higher payment Abuse - refers to practices that are often done unknowingly as a result of poor business practices, directly, or indirectly resulting in unnecessary costs to the program through improper payments QUESTION What is the di...

Abuse Answer Actions inconsistent with accepted, sound medical business or fiscal practice Accept Assignment Answer Provider accepts as payment in full whatever is paid on the cliam by the payer (except for any copayment and or coinsurance amounts.) Accounts Receivable Answer The amount owed to a business for services or goods provided. Accounts Receivable Aging Report Answer Shows the status (by date) of outstanding claims from each payer, as well as payments due from patients. Acco...

CHAM STUDY GUIDE QUESTIONS WITH COMPLETE SOLUTIONS What is the primary role of a Certified Healthcare Access Manager (CHAM) in a healthcare organization? To oversee and improve patient access services, including scheduling, registration, and insurance verification, ensuring a smooth and efficient patient experience. How does the concept of "patient-centered care" influence healthcare access management? Patient-centered care focuses on delivering care that is respectful of and resp...

NHA CBCS Final Exam Practice Test Questions with 100% Correct Answers | Verified | Latest Update which of the following is a key protection standard of the HIPAA privacy rule that requires entities and business associates to limit the use or release of protected health information phi)? Incidental use Authorization Minimum necessary Disclosure. minimum necessary A billing and coding specialist is preparing a claim that includes code A9698. Which of the following actions s...

If add-on procedure code 11101 is performed twice during an office visit, how is it indicated on the CMS- 1500 claim form? a) code 11101 is reported with a modifier 50 b) code 11101 is reported twice c) code 11101 is reported once with the number 2 in box 24G d) code 11101 is reported twice with the number 2 in box 24G - Answer-Code 11101 is reported once with the number 2 in box 24G 60-year-old woman is seeking help to quit smoking. She makes an appointment to see Dr. Lung for an initia...

EPIC Training Questions and Answers Graded A+ Preadmission The process of gathering important information prior to a patient's arrival at the hospital. Patient Workqueue List of patient encounters that require follow up. SWTD System with Training Data iSWTD Training environments for outside of class. Refresh every Friday 10:00 p.m. - Video Game names Project environments Environments in which to build certification projects - Country names HOV Hospital Outpatient Visit HOD Hospital Outpat...

Which of the following letter styles is most efficient? a. block b. standard c. modified block intended d. simplified a. Block A patient who has Medicare and has a physical examination 10 months ago calls to schedule another physical within the week. Which of the following actions is appropriate for the medical administrative assistant to take? a. explain that the physical exam cannot be scheduled for another 2 months b. schedule the patient within the week c. record the appointment a...

Which of the following letter styles is most efficient? a. block b. standard c. modified block intended d. simplified - Answer - a. Block A patient who has Medicare and has a physical examination 10 months ago calls to schedule another physical within the week. Which of the following actions is appropriate for the medical administrative assistant to take? a. explain that the physical exam cannot be scheduled for another 2 months b. schedule the patient within the week c. record the app...

NHA CBCS Module 3 Coding And Coding Guidelines Questions and Answers (2024 / 2025) (Verified Answers) abstracting Reviewing medical record documentation to discover clinical concepts that support assigning codes to the highest level of specificity. clinical documentation Information recorded in the medical record pertaining to the health status of a patient as determined by a health care provider. CPT Current Procedural Terminology. Codes for services and procedures. electroni...