Ub 04 - Study guides, Class notes & Summaries

b) artificial plants and floral arrangements for aesthetics Correct Answer: When creating a reception area for a pediatric clinic, which of the following items should the MA include? a) accessible coffee and tea b) artificial plants and floral arrangements for aesthetics c) stuffed animals and small building blocks d) scented candles to mask odors a) numeric Correct Answer: Which of the following medical record filing systems protects patient's privacy and allows for unlimited expansi...

TEST BANK for Understanding Health Insurance: A Guide to Billing and Reimbursement, 2023 Edition 18th Edition Michelle Green TABLE OF CONTENTS 1. Health Insurance Specialist Career. 2. Introduction to Health Insurance and Managed Care. 3. Introduction to Revenue Management. 4. Revenue Management: Insurance Claims, Denied Claims and Appeals and Credit and Collections. 5. Legal Aspects of Health Insurance and Reimbursement. 6. ICD-10-CM Coding. 7. CPT Coding. 8. HCPCS Level II Coding. 9...

Overall aggregate payments made to a hospice are subject to a computed "cap amount" calculated by (Ans- The Medicare Administrative Contractor (MAC) at the end of the hospice cap period Which of the following is required for participation in Medicaid (Ans- Meet Income and Assets Requirements In choosing a setting for patient financial discussions, organizations should first and foremost (Ans- Respect the patients privacy A nightly room charge will be incorrect if the patient's ...

(The correct answer has been verified, selected and highlighted in yellow for all of the questions below.) 1 What form is used to submit a provider’s charge to the insurance carrier? a. ABN b. UB-04 c. CMS-1500 d. Provider reimbursement form 2 AAPC credentialed coders have proven mastery of what information? a. Code sets b. Evaluation and management principles c. Documentation guidelines d. All of the above 3 When coding an operative report, what action would NOT be recommended? a....

1. A financial counselor/Financial Assistance: In accordance with Section 501(r) regulations through the Affordable Care Act, a hospital must establish a written financial assistance policy and make it available to patients. 2. Batch Processing: Execution of a series of jobs in a computer program without manual intervention; it is used to help maximize the use of computer resources and stabilize response time by performing system-intensive work during hours when users are less likely to require...

Which of the following must a patient sign prior to an insurance claim being processed? a. the HIPAA waiver form b. a referral form c. an Authorization to Release Information d. the actual insurance claim form (Ans- c. an Authorization to Release Information Which of the following patient information is needed to determine a Medicaid sliding fee scale. Select the three (3) correct answers. a. amount of the bill b. occupation c. number of dependents d. poverty level e. salary (Ans...

HFMA: Healthcare Financial Management Association Exam (2024 / 2025) Questions and Verified Answers 1. Which of the following options is an alternative to valid long-term payment plans? ~ Answer: Bank loans 2. What type of plan restricts benefits for nonemergency care to approved providers only? ~ Answer: A PPO (preferred provider organization) plan 3. What does scheduling allow provider staff to do? ~ Answer: Review the appropriateness of the service requested 4. When an adult patient is covere...

Complete Solutions Manual for Understanding Health Insurance, A Guide to Billing and Reimbursement, 2024 Edition, 19th Edition by Michelle A. Green ; ISBN13: 9780357932063.....(Full Chapters included and organized in reverse order from Chapter 17 to 1)...1. Health Insurance Specialist Career. 2. Introduction to Health Insurance and Managed Care. 3. Introduction to Revenue Management. 4. Revenue Management: Insurance Claims, Denied Claims and Appeals, and Credit and Collections. 5. Legal Aspe...

Complete Test Bank for Understanding Health Insurance, A Guide to Billing and Reimbursement, 2024 Edition, 19th Edition by Michelle A. Green ; ISBN13: 9780357932063.....(Full Chapters included and organized in reverse order from Chapter 17 to 1)...1. Health Insurance Specialist Career. 2. Introduction to Health Insurance and Managed Care. 3. Introduction to Revenue Management. 4. Revenue Management: Insurance Claims, Denied Claims and Appeals, and Credit and Collections. 5. Legal Aspects of ...

CHAA 2024 Study Guide with Complete Solutions A financial counselor/Financial Assistance In accordance with Section 501(r) regulations through the Affordable Care Act, a hospital must establish a written financial assistance policy and make it available to patients. Batch Processing Execution of a series of jobs in a computer program without manual intervention; it is used to help maximize the use of computer resources and stabilize response time by performing system-intensive work ...