Exam (elaborations)
HCA 415 Test 1-4 Questions And Answers Latest Update
- Course
- HCA 415
- Institution
- University Of Phoenix
HCA 415 Test 1-4 Questions And Answers Latest Update
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Solution 2024/2025Pepper
HCA 415 Test 1-4 Questions And Answers
Latest Update 2024-2025
ICD-10
international classification of diseases, tenth edition
KPI
include the total amount of receivables, cash flow, DNFB, and denials. these
measures which can be benchmarked agaisnt similar facilities loosely fall
into the following optimizing revenues, timely billing, and increasing
collections PAGE 27
Six sigma
variation on PDCA. The primary variation is it employs statistical analysis to
assess problems, both to determine whtehr ther is a defect in a process and
to determine whether an imporvement has been successful PAGE 34
third party payer
is an insurance company or entity other than the patient with whom the
patient has a contractual relationship regarding payment for health care
services.
medical necessity
refers to a set of criteria with which a payer decides what level of care it will
reimburse PAGE 21
unbilled
patients whose encounters have ended but for whom a final bill has not
been prepared-- the specific report that lists these encounters is often
called the discharged, no final bill, or unbilled report PAGE 18
case management
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