Facility practice rvu - Study guides, Class notes & Summaries
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CDEO Chapter 7 Questions With Answers Graded A+ Assured Success
- Exam (elaborations) • 12 pages • 2024
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Modifiers - provide addtional info about the service/procedure indicating service/procedure has 
been altered but the definition of the code has not changed. 
Global Surgery Package - The time, effort, and services required to complete a procedure are 
bundled together to form a surgery package . Payment is made for a package of services and not each 
individual service provided within the package. 
Using RBRVS - CMS annually publishes Physician Fee Schedule information on its website and 
posts...
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AAPC Official CPC Certification Study Guide Notes
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AAPC Official CPC Certification Study 
Guide Notes 
"Hold harmless clause" - answer* found in some non-Medicare health plan contracts 
* prohibits billing to patient for anything beyond deductibles and co-pays. 
A compliance plan may offer several benefits, including: - answer* more accurate payment 
of claims 
* fewer billing mistakes 
* improved documentation and more accurate coding 
* less chance of violating self-referral and anti-kickback status 
A healthcare clearing house is a - answer...
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AAPC Official CPC Certification Study Guide Notes
- Exam (elaborations) • 16 pages • 2024
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AAPC Official CPC Certification Study 
Guide Notes 
"hold harmless clause" - Answer ️️ -* found in some non-Medicare health plan contracts 
* prohibits billing to patient for anything beyond deductibles and co-pays. 
A compliance plan may offer several benefits, including: - Answer ️️ -* more accurate 
payment of claims 
* fewer billing mistakes 
* improved documentation and more accurate coding 
* less chance of violating self-referral and anti-kickback status 
A healthcare clearing h...
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CDEO Chapter 7 Questions & Answers Correct 100%(GRADED A+)
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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 region allowance , creates the reimbursement for the medical service the CPT code represents 
 
RVU Components - ANSWER-1) Physician work- time, skill, training, and intensity of service provided 
 
2) P...
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AAPC Official CPC Certification Study Guide Notes
- Exam (elaborations) • 12 pages • 2024
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- $12.49
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AAPC Official CPC Certification Study 
Guide Notes 
"Hold harmless clause" - answer* found in some non-Medicare health plan contracts 
* prohibits billing to patient for anything beyond deductibles and co-pays. 
A compliance plan may offer several benefits, including: - answer* more accurate payment 
of claims 
* fewer billing mistakes 
* improved documentation and more accurate coding 
* less chance of violating self-referral and anti-kickback status 
A healthcare clearing house is a - answer...
Too much month left at the end of the money?
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CPB Practice Exam A
- Exam (elaborations) • 12 pages • 2024
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CPB Practice Exam A 
 
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 ...
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AAPC Official CPC Certification Study Guide Notes
- Exam (elaborations) • 16 pages • 2024
- Available in package deal
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- $12.49
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AAPC Official CPC Certification Study 
Guide Notes 
"hold harmless clause" - Answer ️️ -* found in some non-Medicare health plan contracts 
* prohibits billing to patient for anything beyond deductibles and co-pays. 
A compliance plan may offer several benefits, including: - Answer ️️ -* more accurate 
payment of claims 
* fewer billing mistakes 
* improved documentation and more accurate coding 
* less chance of violating self-referral and anti-kickback status 
A healthcare clearing h...
-
CPB Practice Exam A Top-Rated Questions And Answers Graded A 2024
- Exam (elaborations) • 7 pages • 2024
- Available in package deal
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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...
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AAPC Official CPC Certification Study Guide With Complete Solution
- Exam (elaborations) • 17 pages • 2023
- Available in package deal
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"hold harmless clause" - Answer * found in some non-Medicare health plan contracts 
* prohibits billing to patient for anything beyond deductibles and co-pays. 
 
A compliance plan may offer several benefits, including: - Answer * more accurate payment of claims 
* fewer billing mistakes 
* improved documentation and more accurate coding 
* less chance of violating self-referral and anti-kickback status 
 
A healthcare clearing house is a - Answer entity that processes nonstandard health infor...
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CSPR – Questions and Answers based on full course
- Exam (elaborations) • 12 pages • 2023
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What Act shaped how commercial insurance carriers approached the concepts of paying for medical care? - ANSWER-HMO Act of 1973 
 
ACA - ANSWER-Affordable Care Act 
 
HMO (Health Maintenance Organization) - ANSWER-The organization is both the insurer and provider of a set of defined services. Patients within this network must use an in-network provider for their services to be covered. 
 
Capitation Payment - ANSWER-part of prospective payment in which healthcare providers receive fixed monthly p...
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