RHIT PRACTICE EXAM QUIZ
Fee-for -service is a healthcare payment method in which
A. Physicians payments is determined
B. Skilled nursing facilities reimbursed is Determined
C. Providers received payment for services rendered
D. Claim denials are processedcorrect answerC. Providers received payment for services rendered
One of the purposes of the hospital payment monitoring program is to
A. Measure the outpatient payment error rate
B. Reduce necessary hospital admissions rate
C. Reduce the physician fee for service payment rate
D. Monitor and inpatient payment error ratecorrect answerD. Monitor and inpatient payment error rate
The UHDDS uses a minimum set of data elements based on:
A. Principles of reimbursement management
B. Hospital data collection
C. Data collected for outpatient services
D. Standard definitions used for consistent datacorrect answerB. Hospital data collection
One of the purposes for physician query is to clarify
A. Conflicting documentation
B. Discharge instructions
C. Case management plans
D. Nursing carecorrect answerA. Conflicting documents
One of the reasons the CMS developed the NCCI is to :
A. Control improper coding practices
B. Monitor medically unlike edits (MUE)
C. Correct improper use of modifier 59
D. Circumvent coding guidelinescorrect answerA. Code improper coding practices
The UHDDS defines "other diagnoses " as
Fee-for -service is a healthcare payment method in which
A. Physicians payments is determined
B. Skilled nursing facilities reimbursed is Determined
C. Providers received payment for services rendered
D. Claim denials are processedcorrect answerC. Providers received payment for services rendered
One of the purposes of the hospital payment monitoring program is to
A. Measure the outpatient payment error rate
B. Reduce necessary hospital admissions rate
C. Reduce the physician fee for service payment rate
D. Monitor and inpatient payment error ratecorrect answerD. Monitor and inpatient payment error rate
The UHDDS uses a minimum set of data elements based on:
A. Principles of reimbursement management
B. Hospital data collection
C. Data collected for outpatient services
D. Standard definitions used for consistent datacorrect answerB. Hospital data collection
One of the purposes for physician query is to clarify
A. Conflicting documentation
B. Discharge instructions
C. Case management plans
D. Nursing carecorrect answerA. Conflicting documents
One of the reasons the CMS developed the NCCI is to :
A. Control improper coding practices
B. Monitor medically unlike edits (MUE)
C. Correct improper use of modifier 59
D. Circumvent coding guidelinescorrect answerA. Code improper coding practices
The UHDDS defines "other diagnoses " as
