Cms compensation rules - Study guides, Class notes & Summaries

CMCA PRACTICE EXAM 136 Questions with Verified Answers The Joint Commission (JC) requires the Factors that Affect Learning must be assessed for a hospital or hospital owned physician practice as well as other health care facilities. When assessing this element what does this include? A. The patient's ability to read, method of learning and understanding. B. Any language or physical disabilities. C. Cultural beliefs. D. All the above - CORRECT ANSWER D. All the above Report cop...

AHIP Final Exam Test Questions and Answers (2022/2023) Mrs. Paterson is concerned about the deductibles and co-payments associated with Original MedicareWhat can you tell her about Medigap as an option to address this concern? a. Medigap plans are not sold by private companies and are a government insurance product. b. All costs not covered by Medicare are covered by some Medigap plans. c. If Mrs. Paterson applies during the Medigap open enrollment period, she will have to undergo a medi...

AHIP Final Exam Test Questions and Answers (2022/2023) Mrs. Paterson is concerned about the deductibles and co-payments associated with Original MedicareWhat can you tell her about Medigap as an option to address this concern? a. Medigap plans are not sold by private companies and are a government insurance product. b. All costs not covered by Medicare are covered by some Medigap plans. c. If Mrs. Paterson applies during the Medigap open enrollment period, she will have to undergo a medi...

CPMA Chapter 6 Review Questions and Answers 100% Solved What is the reason audit findings should be discussed with the provider audited? To provide a risk analysis, identify problem areas, and recommend corrective action with supporting documentation What type of information can be found In The providers contract with the insurance carrier? The providers obligation to follow the insurance company's medical policies What type of insurance plans may require an auditor to identify non-s...

AAPC CPB Chapter 1 Review FCA - correct answer False Claims Act (FCA): {"knowing" and "knowingly"}-Federal statue setting civil and criminal penalties to protect the government from being overcharged or sold substandard goods or services: -falsely billing the government -over-representing the amount of a delivered product ....or.... -under-stating an obligation to the government Minimum Necessary Standard. What should be sent if records are being requested?? - correct answer The ? r...

AHIP Final Exam Test Questions and Answers (2022/2023) Mrs. Paterson is concerned about the deductibles and co-payments associated with Original MedicareWhat can you tell her about Medigap as an option to address this concern? a. Medigap plans are not sold by private companies and are a government insurance product. b. All costs not covered by Medicare are covered by some Medigap plans. c. If Mrs. Paterson applies during the Medigap open enrollment period, she will have to undergo a medi...

AHIP Module 4 Questions and Answers – Latest 2023/2024 (Verified Answers) 100% Correct Mr. Prentice has many clients who are Medicare beneficiaries. He should review the Centers for Medicare & Medicaid Services’ Marketing Guidelines to ensure he is compliant for which type of products? c. Medicare Advantage (MA) and Prescription Drug (PDP) plans Correct Another agent working for your agency claims that because you are not employed by the Medicare Advantage plans that you represent, you are n...

Diagnostic Coding - ICD-10-CM Exam Questions With Complete Solutions (Verified And Updated) ICD-10-CM - answerHIPAA-mandated diagnosis code set under the HIPAA Electronic Health Care Transactions and Code Sets standard starting on October 1, 2014. Stands for International Classification of Diseases (ICD), Tenth Revision, Clinical Modification (CM). The ICD-10 lists diseases and codes according to a system copyrighted by the World Health Organization (WHO) of the United Nations. ICD has be...

CMAS PRACTICE TEST QUESTIONS AND ANSWERS WITH COMPLETE SOLUTIONS 2024/2025 GRADED A+. How often should the autoclave be thoroughly cleaned? Once a month Every day Every other week Once a week -ANSWER- Once a week Which one of the following circumstances does not require the contract to be in writing? Sale of land Collateral contracts Prenuptial agreement Sale of goods over $50.00 -ANSWER- Sale of goods over $50.00 What area of the body is used to perform a scratch allergy test? Abdome...

AHIP PRACTICE EXAM WITH CORRECT ANSWERS Mr. Carlini has heard that Medicare prescription drug plans are only offered through private companies under a program known as Medicare Advantage (MA), not by the government. He likes Original Medicare and does not want to sign up for an MA product, but he also wants prescription drug coverage. What should you tell him? - CORRECT ANSWER-Mr. Carlini can stay with Original Medicare and also enroll in a Medicare prescription drug plan throu...