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CHFP STUDY SET - REVENUE CYCLE EXAM QUESTIONS AND ANSWERS WITH COMPLETE SOLUTIONS VERIFIED $9.99   Add to cart
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CHFP STUDY SET - REVENUE CYCLE EXAM QUESTIONS AND ANSWERS WITH COMPLETE SOLUTIONS VERIFIED
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CHFP STUDY SET - REVENUE CYCLE EXAM QUESTIONS AND ANSWERS WITH COMPLETE SOLUTIONS VERIFIED Accounts Receivable Collection Period number of days in the accounting period divided by accounts receivable turnover; this ratio indicates on average, how long it takes to collect amounts due Advance Bene...

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  • November 7, 2024
  • 10
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers

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  • chfp study set revenue cycle exam questions and

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  • CHFP
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CHFP STUDY SET - REVENUE CYCLE EXAM QUESTIONS AND

ANSWERS WITH COMPLETE SOLUTIONS VERIFIED

Accounts Receivable Collection Period


number of days in the accounting period divided by accounts receivable turnover; this ratio indicates on

average, how long it takes to collect amounts due


Advance Beneficiary Notice (ABN)


the mandated form required to be given to Medicare beneficiaries related to non-covered outpatient

services; waiver that a provider has a patient sign confirming the patient's understanding that certain

provided services may not be reimbursable under Medicare and therefore are the patient's

responsibility; provider may not collect if this form was not presented and signed. Two copies - original

for provider & copy for patient or representative.


Allowed Amount


maximum amount Medicare will pay in a given area for a covered service


Ambulatory Patient Group (APG), Ambulatory Payment Classification (APC)


institutional outpatient reimbursement system based on the methodology developed by CMS; these are

to outpatient visits/services what MS-DRGs are to inpatient hospital admissions; the payments are based

on categories or groupings of like or similar servies


APR-DRG

, All patient refined DRG is software developed by 3M to identify and classify members into clinically

meaningful categories based on disease(s), disease progression, severity of illness and risk of mortality of

a payors' population


Assignment


agreement in which a patient transfers to a provider the right to receive payment from a third party for

the service the patient has received


Capitation


method under which selected health services are paid for on the basis of a fixed rate per eligible

member without regard to the actual number or nature of services provided to each enrollee; typically

paid per member per month


Charge description master or chargemaster (AKA CDM)


a file that contains a list of chargeable services and associated prices


Hard Cost


Loss of future revenue (of dissatisfied patients; likely precipitated by a negative experience a patient had,

who decides not to return)


Soft Cost


the customer's negative word‐of‐mouth advertising. This may influence others not to use the hospital.


Patient's Path


Pre-treatment/Access, Treatment, Patient Financial Services


Medical necessity

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