What does ncci stand for - Study guides, Class notes & Summaries

What is the underwriter's goal? - Answer- To write a book of business in which the actual losses approximate the expected losses. Gertrude is going to become an insurance agent. She would like to work in an agency that represents many different insurance companies. Gertrude will go to work for a(n) - Answer- Independent agency When a client suffers a loss, MegaInsurers is expected to respond promptly to settle the resulting claim. Depending on the line of insurance, claim costs generally ...

CPMA QUESTIONS AND ANSWERS 2023 B. If documentation supports the service, have the staff contact the carrier to reprocess the claims. Code 33010 was valid for the date of service billed. Rationale: The effective dates of codes are date of service driven. New CPT® codes become effective January 1st of every year. When auditing, verify codes based on the codes that were valid during the date of service. In February 2020, an auditor is asked to review 10 records for date of service 12/1/2019 to...

CMCA PRACTICE EXAM 136 Questions with Verified Answers The Joint Commission (JC) requires the Factors that Affect Learning must be assessed for a hospital or hospital owned physician practice as well as other health care facilities. When assessing this element what does this include? A. The patient's ability to read, method of learning and understanding. B. Any language or physical disabilities. C. Cultural beliefs. D. All the above - CORRECT ANSWER D. All the above Report cop...

RHIT 2018 - Domain 4. In analyzing the reason for changes in hospital's Medicare case-mix index over time, the analyst should start with which of the following levels of detail? • Account level • MS-DRG level • MDC level • MS-DRG triples, pairs, and singles - correct answer MS-DRG triples, pairs, and singles What does MS-DRG stand for? - correct answer Medicare Severity - Diagnosis Related Group What is the term that means evaluating the appropriateness of the setting for...

What does the acronym PHI stand for? correct answers Protected Health Information Which of the following statements regarding healthcare provisions of Medicare are False? correct answers Medicare is federally and state funded A patient consent to potentially assume financial responsibility for a service or procedure that may be denied by Medicare. What form must the patient fill out. correct answers ABN A 31 year old female undergoes surgery for a bilateral salpingectomy. Based on your ...

ocumentation, coding accuracy, policies and procedures ensure practitioners are compliant and meet all coding and billing regulations of payer when submitting a claim Medical record Auditing entails conducting internal or external reviews of which of these: I. documentation II. coding accuracy III. policies IV. Procedures Third-party payer Who conducts an external audit? Brainpower Read More Previous Play Next Rewind 10 seconds Move forward 10 seconds Unmute 0:00 ...

Cpma Top test bank Questions and answers, 100% Accurate. Approved. When non-compliance is identified, what does the OIG recommended? a .Take disciplinary action and document the date of the incident, name of the reporting party, name of the person responsible for taking action, and the follow-up action taken. b. Take disciplinary action and document the date of the incident, name of the reporting party, name of the person responsible for taking action,and the follow-up action taken. ...

CPT Coding Questions and Answers Already Graded A+ CPT coding system Descriptive terms and identifying codes for reporting medical services and procedures Provides uniform language that describes medical, surgical, and diagnostic services Published by the American Medical Association (AMA) CPT codes Five digits in length Descriptions reflect health care services and procedures performed in modern medical practice. Reviewed by AMA to update codes and descriptions annually Category I CPT codes F...

CCA Exam Questions and Answers 100% Verified What does the acronym PHI stand for? Protected Health Information Which of the following statements regarding healthcare provisions of Medicare are False? Medicare is federally and state funded A patient consent to potentially assume financial responsibility for a service or procedure that may be denied by Medicare. What form must the patient fill out. ABN A 31 year old female undergoes surgery for a bilateral salpingectomy. Based on your knowledge...

[Aapc] Edge Quiz – August 2024 Questions And Answers With Verified Solutions 100% Correct!!!