Chargemaster Study guides, Class notes & Summaries

CCA EXAM PREP Domain # 2 Reimbursement methodologies rated A+ 2nd step in reimbursement process Code assignment 1st step in reimbursement process Documentation - medical/ financial record 3rd step in reimbursement process Claim preparation 4th step in reimbursement process Claim to payer(s) 5th step in reimbursement process Claim review 6th step in reimbursement process Claim resolution What are the 2 types of outpatient coding situations 1. Coding for physicians 2. Coding for facilities ...

RHIT PRACTICE TEST 2- DOMAIN 5 ComplianceWhich of the following is a risk of copying and pasting patient documentation in the electronic health record? a) reduction in the time required to document b) system may not save data c) copying the note in the wrong patient's record d) system thinking that the information belongs to the patient from whom the content is being copied - correct answer c) copying the note in the wrong patient's record Which of the following describes incomplete r...

RHIT Dom 1 Practice Exam Questions with Complete Solutions A new health information management (HIM) director has been asked by the hospital CIO to ensure data content standards are identified, understood, implemented, and managed for the hospital's EHR system. Which of the following should be the HIM director's first step in carrying out this responsibility? a. Call the EHR vendor and ask to review the system's data dictionary b. Identify data content requirements for all areas of th...

If add-on procedure code 11101 is performed twice during an office visit, how is it indicated on the CMS- 1500 claim form? a) code 11101 is reported with a modifier 50 b) code 11101 is reported twice c) code 11101 is reported once with the number 2 in box 24G d) code 11101 is reported twice with the number 2 in box 24G - Answer-Code 11101 is reported once with the number 2 in box 24G 60-year-old woman is seeking help to quit smoking. She makes an appointment to see Dr. Lung for an initia...

AHIMA PRACTICE TEST 1 EXAM 2024 WITH 100% CORRECT ANSWERS what is a key characteristic of the POMR (problem oriented medical record)? - correct answer uses an itemized list of the patient's past and present medical problems in developing an internal coding audit review program, what are two risk areas that should be targeted for audit? - correct answer chargemaster description and medical mecessity what are some coding compliance activities? - correct answer reviewing all rejected cl...

The computer listing of all charges that might be posted to a patient account, including mapping of revenue codes to CPT/HCPCS, is the: A. Common Working File B. Chargemaster C. Revenue master D. Reimbursement Working File correct answer: B. Chargemaster True/False: Under Locum Tenens and Reciprocal Agreements, a substitute physician can be paid for services provided to a Medicare patient as long as the substitute and regular physicians have an agreement on file with CMS. correct answer...

RHIT Exam Review Questions with Correct Answers Which of the following plans reimburses patients up to a specified amount? - Answer-Indemnity - Indemnity plans were offered by private insurance companies that reimbursed (or indemnified) the patient for covered services up to a specified dollar limit. It was then the responsibility of the hospital to collect the money from the patient Coding accuracy is best determined by: - Answer-A predefined audit process Benefit period - Answer-A ben...

AHIMA Practice Test 1 Questions And Answers Graded A+ what is a key characteristic of the POMR (problem oriented medical record)? uses an itemized list of the patient's past and present medical problems in developing an internal coding audit review program, what are two risk areas that should be targeted for audit? chargemaster description and medical mecessity what are some coding compliance activities? reviewing all rejected claims; developing procedures for identifying coding ...

MHA 710 - Healthcare Economics - Exam 3 Questions and Answers | Latest Version | 2024/2025 | Already Passed 2. If the market were perfectly competitive instead of dominated by a monopsonist, what would the equilibrium wage and level of employment be? a. W1 and E1 b. W2 and E0 c. W0 and E0 d. W0 and E1 e. W0 and E2 a. W1 and E1 A classification system for physicians' services, using a weighting scheme that reflects the relative value of the various services performed. Develope...

Accept Assignment - Answer the provider agrees to accept what the insurance company approves as payment in full for the claim allowed charges - Answer maximun fee a pahysician can charge appeal - Answer document letter signed by the provider explaining why a claim should be reconsidered for payment Assignment of benefits - Answer reimbursement is directly sent from the payer to the provider. Patient signs to have payment to go the doctor birthday rule - Answer policy h...