Chc au - Study guides, Class notes & Summaries

CHC Auditing & Monitoring Questions and Answers 100% Verified A healthcare provider must repay to Medicare money paid for a specific type of billed claim. What type of audit is the MOST likely one used to identify the amount of repayment? Full statistical audit A Physician practice are having a hard time determining which claims have been paid in full, and which claims have not been paid at all. What test would be practical for the group to perform to validate the claims that have been paid or...

CHC Auditing & Monitoring (1) Questions and Answers 100% Correct True or False: Risk Management aligns with Quality Management in determining measures for risk avoidance and prevention TRUE Your organization recently completed a contemporaneous audit of laboratory billing practices and found that copays have been written off. Which of the following should be your next step? a. Talk to the billing department to see why this is happening b. Conduct a retrospective audit to see if this occurre...

CHC Auditing Question and answers rated A+ 2023

A healthcare provider must repay to Medicare money paid for a specific type of billed claim. What type of audit is the MOST likely one used to identify the amount of repayment? - Answer- Full statistical audit A Physician practice are having a hard time determining which claims have been paid in full, and which claims have not been paid at all. What test would be practical for the group to perform to validate the claims that have been paid or not paid. A. Statistical Sampling B. Rat-Stats ...

CHC Auditing & Monitoring (1) questions and answers 2023 True or False: Risk Management aligns with Quality Management in determining measures for risk avoidance and prevention TRUE Your organization recently completed a contemporaneous audit of laboratory billing practices and found that copays have been written off. Which of the following should be your next step? a. Talk to the billing department to see why this is happening b. Conduct a retrospective audit to see if this occurre...

CHC AUDITING & MONITORING 2 EXAM SOLUTIONS QUESTIONS AND ANSWERS A+ GRADED

CHC AUDITING & MONITORING 1 EXAM SOLUTIONS QUESTIONS AND ANSWERS A+ GRADED