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Overall aggregate payments made to a hospice are subject to a computed "cap amount" calculated by The Medicare Administrative Contractor (MAC) at the end of the hospice cap period Which of the following is required for participation in Medicaid Meet Income and Assets Requirements In ...

Important revenue cycle activities in the pre-service stage include; Obtaining or updating patient and guarantor information In the pre-service stage, the cost of the scheduled service is identified and the patient's health plan and benefits are used to calculate; The amount the patient may ...

Net Days in AR Measures how fast receivables are collected. It is a trending indicator of overall A/R performance & revenue cycle efficiency. A/R Aging Reports divide the AR into 30, 60, 90, and 120 day categories, based on discharge. Credit Balances - Days Outstanding The dollars in cr...

Which of the following statements are true of HFMA's Patient Financial Communications Best Practices? The best practices were developed specifically to help patients understand the cost of services, their individual insurance benefits, and their responsibility for balances after insurance, if any....

Revenue Cycle All of the major processing steps required to process a patient account from the request for service through closing the account with a zero balance and purging it from the system. Pre-Service 1. Patient is scheduled and registered for service 2. Patient Service cost is calculat...

The 501(r) regulations require not-for-profit providers 501(c) (3) to do which of the following activities? A. Complete a community needs assessment and develop a discount program for patient balances after insurance payment. B. Pursue extraordinary collection activities with all patients eligible...

Through which document does a hospital establish compliance standards ? Code of conduct What is the purpose of the OIG work plan Identify acceptable compliance programs in various provider settings. 00:02 01:25 If a Medicare patient is admitted on Friday what services fall with...

General Ledger Cash Petty cash used as payments for miscellaneous purchases Electronic Funds Transfer (EFT) The transfer of funds from payer to payee through the banking system. It is considered the quickest way to move money because it is possible to transfer funds between banks on the sam...

General Ledger Cash Petty cash used as payments for miscellaneous purchases Electronic Funds Transfer (EFT) The transfer of funds from payer to payee through the banking system. It is considered the quickest way to move money because it is possible to transfer funds between banks on the sam...

EMTALA - Emergency Medical Treatment and Labor Act - requires hospitals to provide a medical screening examination and any needed stabilizing treatment to every person presenting at an ED and requesting medical evaluation or treatment - EMTALA prohibits inquiries about insurance or payment if...

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 windo...

The liens types agreement, judicial process, statue The third party payer follow up and account resolution activities include electronic work list after untimely non payments, comparison of actual and expected reimbursement, adjustment posts, submitting secondary claims if necessary ...

What is Revenue Cycle? all steps required to process a patient account from the request for service through closing the account with a 0 balance and purging it from the system Health Insurance Marketplace also known as Health Insurance Exchange, where individuals and small businesses can co...

UB-04/CMS-1450 Uniform Billing 2004 NUBC National Uniform Billing Committee 00:15 01:25 0111 Bill Type Hospital, Inpatient, Admit through Direct Claim 0117 Bill Type Hospital, Inpatient, Correction of Prior Claim 0131 Bill Type Hospital, Outpatient, Admit D...