Primary payer Study guides, Class notes & Summaries
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TEST BANK FOR Medical Assisting Administrative & Clinical Competencies (MindTap Course List) 9thEdition by Michelle Blesi Chapter 1-58( 100% Complete and Verified)
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Medical Assisting Administrative & Clinical Competencies (MindTap Course List) 9th Edition 
1 | P a g e 
TEST BANK FOR 
Medical Assisting Administrative & Clinical Competencies (MindTap Course 
List) 9thEdition 
Chapter 1 
1. Medical assisting is probably right for you if you: 
a. like to work alone, completing tasks independently. 
b. are more comfortable completing a consistent task daily. 
c. do not like variety in your job. 
d. are interested in a career in an expanding field. 
ANSWER: d 
PO...
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Long Term Care Exam 1 With Complete AnswersGraded A+.
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Nursing Facilities AKA - correct answer Nursing homes (both) 
skilled nursing facilities (medicare) (SNF) 
Intermediate care facilities (medicaid) 
 
Nursing Facilities - correct answer Provide a broad range of personal, social, and medical services to assist people with functional or cognitive limitations 
 
What type of nursing facilities are available? - correct answer ...
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HFMA CRCR exam 2023 with 100% correct answers
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Through what document does a hospital establish compliance standards? 
code of conduct 
 
 
 
What is the purpose OIG work plant? 
Identify Acceptable compliance programs in various provider setting 
 
 
 
If a Medicare patient is admitted on Friday, what services fall within the three-day DRG window rule? 
Non-diagnostic service provided on Tuesday through Friday 
 
 
 
What does a modifier allow a provider to do? 
Report a specific circumstance that affected a procedure or service without chan...
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CRCR Exam Prep questions and answers 2023/2024
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CRCR Exam Prep 
What are collection agency fees based on? - correct answer A percentage of dollars collected 
 
Self-funded benefit plans may choose to coordinate benefits using the gender rule or what other rule? - correct answer Birthday 
 
In what type of payment methodology is a lump sum or bundled payment negotiated between the payer and some or all providers? - correct answer Case rates 
 
What customer service improvements might improve the patient accounts department? - correct answer Ho...
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NHA CBCS EXAM REVIEW l Fully solved 2023
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Which of the following Medicare policies determines if a particular item or service is 
covered by Medicare? - CORRECT ANSWER National Coverage Determination 
(NCD) 
A patient's employer has not submitted a premium payment. Which of the following 
claim statuses should the provider receive from the third-party payer? - CORRECT 
ANSWER Denied 
A billing and coding specialist should routinely analyze which of the following to 
determine the number of outstanding claims? - CORRECT ANSWER Agin...
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Xcel Testing Solutions, Life and Health Insurance Exam Questions With Answers Latest 2023-2024 Graded A+
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Barbara's policy includes a rider which allows her to purchase additional insurance at specific 
dates or events without evidence of insurability. This rider is called a(n) 
Answers>>Guaranteed insurability rider 
A guaranteed insurability rider allows for the insured to purchase additional insurance at 
specific dates or events without evidence of insurability. 
Disability Income plans which require that the insurer can NEVER change or alter premium rates 
are usually considered Answers&...
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CHDA exam questions and answers
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A set of standards that provides universal names and codes for laboratory and clinical results is	. Answer - Logical Observation Identifiers Names and Codes (LOINC) 
 
High-quality information is contingent on	. a. Computerized decision support 
b.	Systems integration 
c.	Knowledge management 
d.	Reliable data Answer - d. Reliable data 
 
The individual most likely to lead strategic planning for a healthcare organization's information system is the	. 
a.	CEO 
b.	HIM director c. CIO 
d. Medical ...
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CSPR – Questions and Answers based on full course
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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...
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CRCR EXAM WITH CORRECT CHOICES, CERTIFIED AND VERRIFIED 2023-2024
- Exam (elaborations) • 63 pages • 2023
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CRCR EXAM WITH CORRECT CHOICES, 
CERTIFIED AND VERRIFIED 
What are collection agency fees based on? - CORRECT ANSWER-A percentage of 
dollars collected 
Self-funded benefit plans may choose to coordinate benefits using the gender rule or 
what other rule? - CORRECT ANSWER-Birthday 
In what type of payment methodology is a lump sum or bundled payment negotiated 
between the payer and some or all providers? - CORRECT ANSWER-Case rates 
What customer service improvements might improve the patie...
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AAHAM CRCE 2023 EXAM STUDY GUIDE WITH COMPLETE SOLUTION
- Exam (elaborations) • 14 pages • 2023
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1-day payment window rule - Answer a Medicare requirement similar to the day payment window rule that applies to inpatient poychiatric hosp tals, inpatient rehabilitation facilities, long term care facilities, and chil dren's and cancer hospital. 
 
3-day payment window rule - Answer a Medicare requirement that all diagnostic and clinically related non-diagnostic outpatient services provided with in three days of an inpatient admission must combined the inpa- tient claim when they are provided ...
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