Which choice is NOT a first-rate HFMA Healthcare Dollars and Sense revenue cycle
initiative?
A) Patient Financial Communications
B) Medical Account Resolution
C) Price Transparency
D) Process Compliance - ANSD) Process Compliance
Approximately what ______% of billing data is obtained in the course of the registration
procedure (Patient Access). - ANS40%
What is the objective of the HCAHPS initiative?
A) To behavior opinions concerning patients' angle on health center care.
B) To offer a standardization approach for evaluating sufferers' perspective on hospital care.
C) To offer clean communication and accurate customer support, in an effort to provide the
provider a aggressive aspect.
D) To make sure that during registration key statistics is tested by using a image ID and
coverage card. - ANSB) To offer a standardization method for comparing patients'
perspective on health facility care.
Which choice is NOT a department that supports and collaborates with the revenue cycle?
A) Finance
B) Clinical Services
C) Information Technology
D) Assisted Living Services - ANSD) Assisted Living Services
What ought to a SNF have to participate within the Medicare Program? - ANSA written
switch agreement with one of greater taking part hospitals offering for the switch of patients
among the clinic and SNF.
In order to qualify for Medicare Coverage of Home Health Service a affected person ought to
meet 2 conditions. - ANS1) An MD should certify that a patient is restrained to his/her house
(Not necessarily bedridden). Leaving the home would be a considerable effort
2) Hospitals and SNFs might not be considered an area of residence for functions of home
health coverage.
Which alternatives is NOT a continuum of care issuer?
A) Physician
B) Skilled Nursing Facility (SNF)
C) Health Plan Contracting
D) Hospice - ANSC) Health Plan Contracting
Which of the subsequent are important elements of an powerful compliance application?
A) Oversight of personnel with the aid of excessive-stage personnel.
B) Established compliance standards and procedures.
C) Designation of a compliance places of work employees in the Billing branch.
, D) Reasonable methods to acquire compliance with requirements, which includes monitoring
structures and hotlines.
E) Automatic dismissal of any worker excluded from participating in a federal healthcare
software. - ANSA, B, and D
A) Oversight of personnel by using excessive-level personnel.
B) Established compliance standards and processes.
D) Reasonable techniques to reap compliance with standards, which include monitoring
structures and hotlines.
What is the OIG? - ANSThe Office of the Inspector General
Annually, the OIG publishes a work plan of compliance problems and objectives that will be
targeted on during the following year. Identify which alternative is NOT a work plan
undertaking cited in this path.
A) Standard Unique Employer Identifier
B) Provider-primarily based reputation
C) Medical devices
D) Reconciliation of outlier payments - ANSA) Standard Unique Employer Identifier
All diagnostic offerings provided to a MCR beneficiary via a medical institution (or entity
owned through the clinic) at the date of the beneficiary's inpatient admission or during the
____ calendar days at once previous the date of the admission are required to be included
at the inpatient invoice. - ANS3
IN order to sell the usage of accurate coding methods on a national basis and prevent
charge errors due to improper coding, the Centers for Medicare and Medicaid Services
(CMS) advanced what?
A) The Correct Coding Initiative (CCI)
B) The Advance Beneficiary Notice of Noncoverage
C) The Medicare Secondary Payer (MSP)
D) Modifiers - ANSA) The Correct Coding Initiative (CCI)
What do enterprise/organizational ethics constitute?
A) An worker's moves inspired by using experiences and cost system.
B) The affected person privacy standard within fitness care
C) A healthcare provider's practices and concepts
D) Principals and standards by way of which companies operate. - ANSD) Principals and
requirements via which groups function.
What is the intended final results of the collaborations made at some stage in an ACO
delivery gadget?
A) To create price-containment provisions to reform the healthcare transport device.
B) To make sure appropriateness of care, removal of replica services, and prevention of
medicare errors for a population of sufferers.
C) To offer monetary incentives to physicians for reporting exceptional statistics to CMS.
D) To reform the healthcare machine into a system to rewards more value, improves the
first-rate of care and will increase efficiency in the transport of offerings. - ANSB) To make
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