According to cms - Study guides, Class notes & Summaries
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AAHAM CRCE 2023 EXAM STUDY GUIDE WITH COMPLETE SOLUTION
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1-day payment window rule - Answer a Medicare requirement similar to the day payment window rule that applies to inpatient poychiatric hosp tals, inpatient rehabilitation facilities, long term care facilities, and chil dren's and cancer hospital. 
 
3-day payment window rule - Answer a Medicare requirement that all diagnostic and clinically related non-diagnostic outpatient services provided with in three days of an inpatient admission must combined the inpa- tient claim when they are provided ...
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TEST BANK for Primary Care - A Collaborative Practice, 6th Edition Terry Buttaro | Primary Care A Collaborative Practice_ALL 250 CHAPTERS with Questions and Answers with Rationale | Complete Guide A+
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Primary Care : A Collaborative Practice, 6th Edition Terry Buttaro, JoAnn Trybulski, Patricia Polgar-Bailey Joanne Sandberg-Cook Chapter 1: The Evolving Landscape of Collaborative Practice Test Bank Multiple Choice 1. Which assessments of care providers are performed as part of the Value Based Purchasing initiative? Select all that apply. a. Appraising costs per case of care for Medicare patients b. Assessing patients’ satisfaction with hospital care c. Evaluating available evidence to guide c...
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Test Bank for Primary Care: A Collaborative Practice 5th Edition by Terry Mahan Buttaro, JoAnn Trybulski, Patricia Polgar-Bailey & Joanne Sandberg-Cook 9780323355018 Chapter 1-50 | Complete Guide A+
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Primary Care : A Collaborative Practice, 5th Edition Terry Buttaro, JoAnn Trybulski, Patricia Polgar-Bailey Joanne Sandberg-Cook Chapter 1: The Evolving Landscape of Collaborative Practice Test Bank Multiple Choice 1. Which assessments of care providers are performed as part of the Value Based Purchasing initiative? Select all that apply. a. Appraising costs per case of care for Medicare patients b. Assessing patients’ satisfaction with hospital care c. Evaluating available evidence to guide c...
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NHA CBCS (2024/ 2025) Exam | Questions and Verified Answers| 100% Correct| Grade A
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NHA,CBCS (2024/ 2025) Exam | Questions and Verified Answers| 100% Correct| Grade A 
 
Q: Which of the following actions by a billing and coding specialist would be considered fraud? 
 
 
Answer: 
Billing for services not provided 
 
 
 
Q: The >< symbol is used to indicate a new and revised test other than which of the following? 
 
 
Answer: 
Procedure descriptors 
 
 
 
Q: On the CMS-1500 claim form, blocks 14 through 33 contain information about which of the following? 
 
 
Answer: 
The...
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PTCB EXAM TEST BANK QUESTIONS AND ANSWERS LATEST WITH RATIONALE 2023-2024
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PTCB EXAM TEST BANK 
QUESTIONS AND ANSWERS 
LATEST WITH RATIONALE 
 
Multiple choice 
What is the route of administration for a prescription with the following directions: "i supp pr q 6 hr 
prn"? 
A. Orally 
B. Rectally 
C. Urethrally 
D. Vaginall {{Correct Ans- B. Rectally 
Rationale: 
"pr" means per rectum. 
What is the meaning of PDA? 
A. Personal digital aid 
B. Personal digital assistant 
C. Physician digital assistant 
D. Pharmaceutical data assistant {{Correct Ans- B. Personal dig...
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HCCA - CHC Study Questions and Answers (Graded A)
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True or False: 
The ACA requires that all providers adopt a compliance plan as a condition of enrollment with Medicare, Medicaid, and Children's Health Insurance Program (CHIP). - Answer- True 
 
ref. ACA section 6102 
 
According to HHS-OIG - what are three important reasons for proper documentation in Compliance? (hint: protections) - Answer- 1.Protect our programs 
2.Protect your patients 
3.Protect the Provider 
 

 
At which level of the Medicare Part A or Part B appeals process is the app...
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Medical Billing and Coding Practice Test with Complete Solutions
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Medical Billing and Coding Practice Test 
 
with Complete Solutions 
 
Which of the following Medicare policies determines if a particular item or service is covered by 
Medicare? National Coverage Determination (NCD) 
 
Which of the following is considered the final determination of the issues involving settlement of 
an insurance claim? Adjudication 
 
A form that contains charges, DOS, CPT codes, ICD codes, fees and copayment information 
Encounter Form 
 
A patient comes to the hospital for ...
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CPCO EXAM 2024 WITH 100% CORRECT ANSWERS
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CPCO EXAM 2024 WITH 100% CORRECT ANSWERS 
 
 
Does Medicare pay for all tests ordered by Providers? - correct answer No, they need to determine if it's covered and medically necessary. 
 
For larger physician practices, how often does the OIG suggest reporting compliance activities to the board of directors? - correct answer Regularly 
 
According to the OIG, medically unnecessary services can be billed to Medicare for what purpose? - correct answer To receive a denial so a claim can be submit...
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CPCS Exam Questions & Answers 2024/2025
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CPCS Exam Questions & Answers 2024/2025 
 
 
What two accreditors state: a hospital may not rely solely on board certification when considering practitioner for medical staff membership? - ANSWERSHFAP, CMS 
 
According to JC & HFAP name four approved sources PSV for Medical Education - ANSWERSMedical School, AMA, ECFMG, AOA 
 
According to NCQA practitioners must be notified of credentialing decision within how many days? - ANSWERS60 Days 
 
The DHHS mails a copy of the NPDB report to the named ...
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CPCS Exam Questions with Correct Answers Rated A+
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What two accreditors state: a hospital may not rely solely on board certification when 
considering practitioner for medical staff membership? -Answer HFAP, CMS 
According to JC & HFAP name four approved sources PSV for Medical Education -Answer 
Medical School, AMA, ECFMG, AOA 
According to NCQA practitioners must be notified of credentialing decision within how many 
days? -Answer 60 Days 
The DHHS mails a copy of the NPDB report to the named provider. If the provider wishes to 
dispute the re...
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