Exam (elaborations)
HITT 1345 Final Exam Detailed Questions And Expert Answers
- Course
- HITT 1345
- Institution
- San Jacinto College
HITT 1345 Final Exam Detailed Questions And Expert Answers
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HITT 1345 Final Exam Detailed Questions AndExpert Answers
Auditing/Audit - ANS a formal way of checking financial and other records
Fraudulent Coding/Document - ANS
Reopening Claims Review of Claims after they have been paid - ANS
Preliminary Review - ANS A form of pilot testing in which colleagues of planners
review a process being tested
Hard Coding - ANS -Use of the charge description master to code repetitive or
noncomplex services
-codes are assigned by the CDM without human intervention
Comparing Claims Information - ANS
Compliance Committee - ANS to advise the compliance officer and assist in the
implementation of the compliance program
Coding Compliance - ANS The conformity and adherence to established coding
guidelines and regulations
, Coding Manager - ANS The staff member who is responsible for evaluating and
monitoring education action plans for individual coders within a coding
department is the:
Coding Staff - ANS
Compliance Department - ANS -A unit within the organization staffed by lawyers
and nonlawyers that helps an organization follow rules and regulations and
maintain the company's culture of values and ethics
-helps to make sure that their hospital, clinic, or other agency is complying with
federal and state laws that are relevant to healthcare. They do this through
implementation and enforcement of compliance policies, procedures, and
standards of conduct.
OIG Program Guidance for Hospitals - ANS
Fraud - ANS A dishonest act by an employee that results in personal benefit to the
employee at a cost to the employer.
HCPS - ANS Healthcare Common Procedural Coding System
the system required by CMS for coding services provided to Medicare patients
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