Inpatient pos 21 - Study guides, Class notes & Summaries

1 NJ HEALTH INSURANCE EXAM (XCEL SOLUTIONS) | QUESTIONS & ANSWERS (VERIFIED) | LATEST UPDATE | GRADED A+ Why are dividends from a mutual insurer not subject to taxation? Correct Answer: because dividends are considered to be a return of premium ABC insurance company transfers part of their risk to XYZ insurance company. This situation is called Correct Answer: reinsurance A nonparticipating company is sometimes called a(n) Correct Answer: stock insurer What is considered to be t...

AMT MT Study Guide Exam 551 Questions with Verified Answers The three major phases of laboratory testing that a QA program should evaluate include a. mean, standard deviation, and coefficient of variation. b. pre-op, operative, and post-op. c. pre-analytical, analytical, and post-analytical. d. outpatient, inpatient, and non-patient. - CORRECT ANSWER c. pre-analytical, analytical, and post-analytical. The process by which test results achieve the same high levels of accuracy and prec...

The CPT Manual (2022/2023) 100% Correct The Current Procedural Terminology Manual (CPT) The CPT manual is organized according to three categories of codes. Category I: Five-digit codes with descriptions arranged by sections within the tabular list of the CPT manual Category II: A set of supplemental or optional codes used to track performance measurement Category III: Temporary codes for emerging and new technology, procedures, and services that are not officially included in the tabular list...

CRC exam, Top Question with accurate answers, 100% Accurate, rated A+, verified. Risk Adjustment (a prospective payment system) - -The process of increasing or reducing payments to health plans to reflect higher or lower than expected spending. Risk adjusting is designed to compensate health plans that enroll an older and sicker population as a way to discourage plans from selecting only healthier enrollees. What is the goal when coding for risk adjustment? - -code ALL current dx What...

CRC exam Pool Questions and answers, 100% Accurate, Graded A+ Risk Adjustment (a prospective payment system) - -The process of increasing or reducing payments to health plans to reflect higher or lower than expected spending. Risk adjusting is designed to compensate health plans that enroll an older and sicker population as a way to discourage plans from selecting only healthier enrollees. What is the goal when coding for risk adjustment? - -code ALL current dx What is the purpose of ...

CMS-1500 used to request payment from health insurance payers, like Medicare, after a patient has been treated. To fill out the form you must have: -the patient registration form -patient health record documentation -superbill/encounter form patient registration form contains the patient's demographic information and health insurance payer information. This information must be up to date, and most practices will institute a policy of verifying the information upon each visit. This f...

Define Revenue Cycle - ANSWER-REVENUE CYCLE ----- is the series of events and services provided prior to, during, and after the course of treatment Departments that contribute to the Revenue Cycle. - ANSWER-Departments that contribute to the Revenue Cycle. 1. Access 2. Health information management/ Medical records 3. Case-management 4. Patient Care Services 5. Patient Financial Services What led the creation of revenue management services? - ANSWER-The emphasis on the revenue c...

Whole Life Insurance - answers-A permanent insurance policy which is guaranteed to remain in force for the insured's entire lifetime - Provided that the required premiums are paid, or to the policy maturity date. Whole Life Insurance can also be described as: - answers-Permanent, endowment, or ordinary Whole Life is designed to - answers-Remain in force for the whole life of the insured and the premiums will never increase. Limited pay whole life - answers-Policy allows for a lifetime ...

ANCC Exam Types of prevention - primary- car restraints, bicycle helmets, immunizations secondary- prevent for those with RF-pap, mammo tertiary-mgmt of established disease- meds, lifestyle Primary - Preventing the health problem, most cost effective form of healthcare **IMMUNIZATIONS, ensuring adequate illumination at home (preventing falls) Secondary - Detecting disease in early asymptomatic stages, screenings -Early cause finding of asymptomatic disease via the use of a screening ...

POS Place of Service Inpatient POS 21 Outpatient POS 22 MPFS Medicare Physician Fee Schedule Pharmacy 01 Prison/Correction Facility 09 Physician's Office 11 Home 12 Assisted Living Facility 13 Group Home 14 Walk-In Retail Health Clinic 17 Off Campus - Outpatient Hospital 19 Urgent Care Facility 20