PRACTICE MANAGEMENT AAPC WITH COMPLETE QUESTIONS AND ANSWERS 100% CORRECT
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Course
MANAGEMENT AAPC
Institution
MANAGEMENT AAPC
PRACTICE MANAGEMENT AAPC WITH COMPLETE QUESTIONS AND ANSWERS 100% CORRECTPRACTICE MANAGEMENT AAPC WITH COMPLETE QUESTIONS AND ANSWERS 100% CORRECTPRACTICE MANAGEMENT AAPC WITH COMPLETE QUESTIONS AND ANSWERS 100% CORRECT
You work for a primary care practice. A patient has recently suffered a transi...
PRACTICE MANAGEMENT AAPC WITH
COMPLETE QUESTIONS AND
ANSWERS 100% CORRECT
You work for a primary care practice. A patient has recently suffered a transient
ischemic attack (TIA) and your physician wants to send the patient to a specialist for a
consultation. Which specialty would handle this type of diagnosis - ANSWER-
Neurologist
he physician who owns the practice approaches you to discuss an increased frequency
of denials. Which of the following would give the physician the impression that you have
low interest in what he is saying? - ANSWER-Fidgeting or little eye contact
Which of the following is a statement that includes the payment amount and denial
explanations for claims submitted? - ANSWER-Remittance advice
What percentage of communication occurs through body language? - ANSWER-55%
Best example of communicating in a difficult conversation? - ANSWER-Let the person
know, "I understand how you feel
What is the best way to prevent denials for invalid codes? - ANSWER-Update the
practice management system when new, deleted and revised codes are released
Payment for physician services is based on the _____ code. Select all that apply -
ANSWER-CPT and
HCPCS Level II
You work for a pediatric office and one of your patient's parents informs you that they
cannot afford health insurance for their child. She does not qualify for Medicaid because
she makes too much money. What would you recommend? - ANSWER-CHIPS
Hospitals bill for inpatient services (charges for the room, time in the OR, meals,
supplies and nursing services) based on a _______________. - ANSWER-MS-DRG
Emergency action plan should include - ANSWER-Procedures for reporting a fire or
emergency, Evacuation procedures, Fire extinguisher locations, Emergency contacts
and contact information, Designated meeting location, Staff assignments and
responsibilities
To perform CLIA waived tests, a practice must have a - ANSWER-Certificate of Waiver
, hospital provides free office space to providers who admit patients for inpatient
procedures. Which law(s) does this violate? - ANSWER-Anti-Kickback Law
Effective communication between staff regarding sterilization of equipment - ANSWER-
Quality care improvement?
On an income statement, which expense categories would best represent a variable
expense? - ANSWER-Medical supplies
The balance sheet - ANSWER-Snapshot of a business' financial condition at a specific
point in time
The front desk plays an important role in: Select all that apply - ANSWER-Customer
service
Optimizing physician time
Claim quality assurance
Most insurance payers will pay a predetermined set amount for each procedure code.
What is this payment methodology known as? - ANSWER-Prospective Fee Schedule
When a practice sees revenue decreasing, a manager should evaluate - ANSWER-
Patient Volume
Staff errors
Coding
Billing
Insurance Delays
Denials
What is a benefit of using an ERA (electronic remittance advice)? - ANSWER-Accurate
and efficient payment and adjustment posting
What is an important element to monitor with a clinic's fee schedule (chargemaster) -
ANSWER-Every fee on the schedule is higher than the highest contracted rate for that
service.
What instances below can add to an inefficient bad debt management process? -
ANSWER-Numerous clinical and administrative approval requirements
Unclear policies on write off thresholds
Unclear policies that limit the amount of balance billing
What is essential for accurate charge capture? - ANSWER-Review documentation of
the services to make sure all codes are reported.
What time frame best describes when accounts should be sent to a collections agency?
- ANSWER-Any patient account over 90 days old and with a balance over $10
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