Rvu Study guides, Class notes & Summaries

The office policy for claims follow-up is to prioritize the insurance balance accounts past 90 days by highest outstanding balance. Based on the A/R report provided, which payer type and aging category would be one of the top priorities on which to focus collection efforts? - workers' compensation, 121+ days Using the fee schedule and the payment policy provided, what is the expected reimbursement (including patient responsibility) when a provider performs a nasal endoscopy and dilation of t...

MS-DRGs - Medical severity diagnosis-related groups (MS-DRGs Ans: represent an inpatient prospective payment system implemented by the CMS to reimburse hospitals a predetermined amount for services provided to inpatients...can be grouped in categories called Line Graph Ans: plot is used to display time trends LOINC codes Ans: used for Identifying test results CPT codes and APC's (Ambulatory payment classifications) Ans: have a One to many relationship Frequency charts Ans: excellent...

AAPC CPB - Chapter 11 Review Practice Test 2024. Medicare's payment amount for services are determined by which of the following formulas? a. Sustainable growth rate (SGR) X Geographic Practice Cost Index (GPCI) = Medicare payment b. Total RVU X Conversion factor = Medicare payment c. Total Practice Expense (PE) X Conversion factor = Medicare payment d. Total Malpractice insurance (MP) X Conversion factor (CF) = Medicare payment - correct answer b. Total RVU X Conversion factor = Medic...

FACHE - ACHE BOG EXAM SAMPLE TEST QUESTIONS – HEALTHCARE WITH VERIFIED ANSWERS Which of the following si true about a capitated Managed Care Organization (MCO) arrangement: a) The provider shifts financial risk to the MCO b) The provider can bil separately for each service provided c) The provider must wait to bil the MCO until services have been provided to a patient d) The provider is paid a set fee - ANSWERS d) The provider is paid a set fee Which of the following is a unit of ...

ACHE BOG Practice Exam 2024 questions and answers According to the ACHE's Code of Ethics, one way that healthcare executives can avoid or minimize the negative implications of conflict of interest is to: a. Develop a public relations plan to address potential conflict-of-interest scenarios. b. Not participate in the specific decision where conflict may exist. c. Ensure members submit annual lists of major activities and holdings for inspections. d. Make the conflict known to those ...

AAPC CPB - Chapter 11 Pre-Test Questions 2024.Medicare's payment amount for services are determined by which of the following formulas? a. Sustainable growth rate (SGR) X Geographic Practice Cost Index (GPCI) = Medicare payment b. Total RVU X Conversion factor = Medicare payment c. Total Practice Expense (PE) X Conversion factor = Medicare payment d. Total Malpractice insurance (MP) X Conversion factor (CF) = Medicare payment - ANSWER b. Total RVU X Conversion factor = Medicare payment ...

CDEO Chapter 7 Questions and Answers 100% CorrectCDEO Chapter 7 Questions and Answers 100% CorrectCDEO Chapter 7 Questions and Answers 100% CorrectCDEO Chapter 7 Questions and Answers 100% Correct RBRVS - ANSWER-Resource-Based Relative Value Scale RBRVS System - ANSWER-Established by Medicare to reimburse physicians based on CPT code submitted for reimbursement RVU - ANSWER-Each CPT code has an assigned relative value unit which, when multiplied by conversion factor and a geographic regio...

ACHE BOG Practice Exam Questions And Answers # 1 According to the ACHE’s Code of Ethics, one way that healthcare executives can avoid or minimize the negative implications of conflict of interest is to: Make the conflict known to those in superior positions. 3 MULTIPLE CHOICE OPTIONS #2 The principles of quality improvement require that healthcare executives change their management philosophy from: Finding fault with employees to finding problems in processes. 3 MULTIPL...

AAPC CPB - Chapter 8 ReviewWhich statement is TRUE regarding condition codes for the UB-04 claim form? Selected Answer: d. a. A condition code identified the department for the revenue of the procedure. b. Condition codes are listed in the order of occurrence instead of numerical order. c. Condition codes are reported only on the CMS-1500 claim form. d. A condition code is used to indicate an inpatient service is reported on an outpatient claim. - correct answer d. A condition code is us...

Inpatient Prospective Payment System (IPPS) each DC is assigned to a Medicare severity diagnosis Outpatient Prospective Payment System (OPPS) each DC is assigned to ambulatory classifications (APC) Physician fee services each service has a relative value unit (RVU) services are standardized Impact of the ACA on healthcare created new standards, individual mandates, exchanges and Medicaid expansion, focused on quality through clinical compensation, bundled payment, value-based purchasing