Hhrgs - Study guides, Class notes & Summaries

Calculate the following amounts for a participating provider who bills Medicare: Submitted charge (based on provider's regular fee for office visit) $ 75 Medicare physician fee schedule (PFS) $ 60 Coinsurance amount (paid by patient or supplemental insurance) $ 12 Medicare payment (80 percent of the allowed amount) $ ????? Medicare write-off (not to be paid by Medicare or the beneficiary) $ ????? correct answer: Medicare payment (80 percent of the allowed amount) $48 Medicare write-...

HIPAA (Health Insurance Portability and Accountability Act) Designated the code sets for healthcare services reporting to public and private insurers. HITSP (Health Information Technology Standards Panel) identified standards for the electronic exchange of health information NCHS (National Center for Health Statistics) A division of the CDC responsible for developing and publishing ICD-10 CM in the USA The clinical modification of ICD has several uses: -Classifying morbidity and mortality inf...

PPS for Home Health (OASIS) Exam Questions & Answers HH Eligibility - Answer ️️ -MD, DO, podiatrist: orders approved and followed, Face to face encounter for primary reason 90 days prior SOC or w/in 30 days Requires skilled professional maintenance/improvement Part time intermittent care Homebound Requirement Homebound Criteria? - Answer ️️ -1/2 aid of supportive devices leaving home medically contraindicated + both normal inability to leave home Requires cosiderable & tax...

PPS for Home Health (OASIS) Exam Questions & Answers HH Eligibility - Answer ️️ -MD, DO, podiatrist: orders approved and followed, Face to face encounter for primary reason 90 days prior SOC or w/in 30 days Requires skilled professional maintenance/improvement Part time intermittent care Homebound Requirement Homebound Criteria? - Answer ️️ -1/2 aid of supportive devices leaving home medically contraindicated + both normal inability to leave home Requires cosiderable & tax...

PPS for Home Health (OASIS) Exam Questions & Answers HH Eligibility - Answer ️️ -MD, DO, podiatrist: orders approved and followed, Face to face encounter for primary reason 90 days prior SOC or w/in 30 days Requires skilled professional maintenance/improvement Part time intermittent care Homebound Requirement Homebound Criteria? - Answer ️️ -1/2 aid of supportive devices leaving home medically contraindicated + both normal inability to leave home Requires cosiderable & tax...

WGU C810 HIPPA Health records Management Exam proficiency Guide Questions with Approved Solutions 2024/2025 Which Classification system was established for the prospective reimbursement of a covered home care services to Medicare beneficiaries during a 60-day episode of care? - correct answer HHRG's Which relative value unit takes into account the operational costs of delivering healthcare services, such as rent, wages of technical personnel, supplies, and equipment? - correct answer Prac...

According to CPT, a repair of a laceration that includes retention sutures would be considered what type of closure? a. complex b. intermediate c. not specified d. simple - Answer a. Complex A skin lesion is removed from a patient's cheek in the dermatologist's office. The dermatologist documents "skin lesion" in the health record. Prior to billing the pathology report returns with a diagnosis of basal cell carcinoma. Which of the following actions should the coding professional do fo...

AHIMA CCA: All Top Exam Questions with Accurate answers, Test Bank. 100% Accurate, Verified. Graded A+ 1. A 65-year-old white male was admitted to the hospital on 1/15 complaining of abdominal pain. The attending physician requested an upper GI series and laboratory evaluation of CBC and UA. The x-ray revealed possible cholelithiasis, and the UA showed an increased white blood cell count. The patient was taken to surgery for an exploratory laparoscopy, and a ruptured appendix was discover...

CCA Exam Reimbursement Methodologies - 109 Exam Study Questions with 100% Correct Answers Document Content and Description Below CCA Exam Reimbursement Methodologies - 109 Exam Study Questions with 100% Correct Answers How does Medicare or other third party payers determine whether the patient has medical necessity for the t ests, procedures, or treatment billed on a claim form? - by reviewing all the diagnosis codes assigned to explain the reasons the services were provided What is the name o...