1n/n97 1. Innwhat nsituation(s) nshould nanprovider nNOT n
use nanmodifier? 2. What nare nother nnames nfor nThree -Day nPay-
nment nWindow? 3. What nhappens nduring nthe npost -
service nstage? 4. What nare nthe nbelow ntasks npart nof? A. Educate npatients B. Coordinate nto navoid nduplicate npati
ent ncontacts C. Be nconsistent nin nkey naspects nof naccou
nt nresolution D. Follow nbest npractices nfor ncommunicati
on 5. Which noption nis nNOT nanmain nHFMA nHealth -
ncare nDollars n& nSense nrevenue ncycle ninitia -
ntive? 6. Which noption nis nNOT nancontinuum nof ncare n
provider? A. Physician B. Health nPlan nContracti
ng C. Hospice D. Skilled nNursing nFacili
ty 2n/n97 - CPT nalready nindicates n2-4nle-nsions - CPT nindicates nmultiple nex-ntremities ALL nOF nTHE nABOVE 72-hour nrule, nDRG nwindow, nThree -
Day nWindow, n1nday nwin-ndow nor n24-hour nrule Final ncoding, npreparation nand nsubmission nof nclaims, n
pay-
nment nprocessing, nbalance nbilling nand nresolution. Best npractices ncreated nby nthe nMedical nDebt nTask nFo
rce Process nCompliance B. nHealth nPlan nContracting 7. What nis n"implied ncertification"? When nitnis nimplied nthat na provider nmet nall ncompliance 3n/n97 8. Which nof nthe nfollowing nare nessential nel-
nements nof nan neffective ncompliance npro-
ngram? A. Established ncompliance nstandards nand n
procedures. B. Designation nof nancompliance nofficer nem-
nployed nwithin nthe nBilling nDepartment. C. Oversight nof npersonnel nby nhigh -
level npersonnel. D. Automatic ndismissal nof nany nemployee n
excluded nfrom nparticipation nin nanfederal n
healthcare nprogram. E. Reasonable nmethods nto nachieve ncompli -
nance nwith nstandards, nincluding nmonitoring n
systems nand nhotlines. 9. When nwas nHealth nInformation nTechnology n
for nEconomic nand nClinical nHealth n(HITECH) n
Act nsigned ninto nlaw? standards nbefore nsubmitting nanc
laim A. nEstablished ncompliance nsta
ndards nand nprocedures. C. nOversight nof npersonnel nby n
high-level npersonnel. E. nReasonable nmethods nto nachi
eve ncompliance nwith nstan-
ndards, nincluding nmonitoring nsy
stems nand nhotlines. FEB n17, n2009 10. When ndid nHITECH nAct nbecome neffective? 2013 11. Annually, nthe nOIG npublishes nanwork nplan nof n
compliance nissues nand nobjectives nthat nwill n
be nfocused non nthroughout nthe nfollowing nye
ar. nIdentify nwhich noption nis nNOT nanwork npla
nntask nmentioned nin nthis ncourse. A. Payments nto nPhysicia
ns nfor nCo-
Surgery nProcedures B. Denials nand nAppeals ni
nnMedicare nPart nD 4n/n97 C. Medicare nHospital nPayments nfor nClaims nI
nvolving nthe nAcute -nand nPost -Acute -
Care nTransfer nPolicies D. Standard nUnique nEmployer nIdentifier D. nStandard nUnique nEmployer n
Identifier
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