Medicare pays the r Study guides, Class notes & Summaries

CRCR Multiple Choice questions and answers 100% guaranteed success. The disadvantages of outsourcing include all of the following EXCEPT: a) The impact of customer service or patient relations b) The impact of loss of direct control of accounts receivable services c) Increased costs due to vendor ineffectiveness d) Reduced internal staffing costs and a reliance on outsourced staff - correct answer. D The Medicare fee-for service appeal process for both beneficiarie...

MAA 138 Medical Billing & Coding FINAL Review What is coordination of benefits? - When the patient has two insurances; one is primary, one is secondary Are claim inquiries done by phone or in writing? - Both What is implied contract? - When a patient goes to the doctor's office seeking medical services and the physician accepts the patient and agrees to render treatment and both parties agree Can a photocopy of a claim form be scanned with optical character recognition? Why or...

You want to get more funding for your hospital's Rapid Response Team. How should you present this issue to the committee? a. Stress importance of the team (look up evidence about how team affects outcomes) b. Describe how to improve and expand the team - ANSWER a. stress importance of team What is the best way for the AGACNP to get involved in policy making? a. attend legislative days at the state capitol b. join a hospital committee c. write your local congressman d. review literature...

Alcohol + insulin or sulfonylurea = hypoglycemia Alcohol + metformin = lactic acidosis Brainpower 0:04 / 0:15 Intermittent claudication lower extremity pain that occurs during physical activity such as walking and subsides with rest Ankle Brachial Index (ABI) this measures blood pressure in the ankle and at the arm while the client is at rest, and then is repeated 5 minutes after walking on a treadmill a normal ABI means what? Normally, the pressure at both t...

NURS 231 Exam 1 Questions With Verified Answers 2024/2025 In a head to toe assessment, what vital signs are assessed? Temp, pulse (rate and rhythm), resp, BP, pain scale, pulse ox. In a head to toe assessment, what is assessed in the general survey and skin assessment? Gen. appearance, color, posture, mobility/gait, affect. In a head to toe assessment, what is an example of what is assessed in the LOC/mental status assessment? Alert and oriented times 4. In a head to toe assessment, wha...

1 CRCS EXAM | QUESTIONS & ANSWERS (VERIFIED) | LATEST UPDATE | GRADED A+ Medicare Part A Correct Answer: Covers individuals who are elderly (age 65 or older) and individuals with permanent disabilities, end stage renal disease (ESRD) or Lou Gehrig's disease Title XVIII Correct Answer: Medicare (title) Medicare part A Correct Answer: Covers inpatient hospitalizations, skilled nursing facility (SNF), home health & hospice Lifetime reserve days Correct Answer: 60 days of inpatient...

1 CRCS CERTIFICATION EXAM | QUESTIONS & ANSWERS (VERIFIED) | LATEST UPDATE | GRADED A+ CMS Correct Answer: Centers for Medicare and Medicaid Services and also one of the HHS operating divisions OIG Correct Answer: Office of Inspector General in DHHS. Monitors compliance with reimbursement laws & regulations Title XVIII Correct Answer: Medicare Title XIX Correct Answer: Medicaid HIPAA Correct Answer: Health Insurance Portability and Accountability Act HHS 2 Correct Answer: D...

Alcohol + insulin or sulfonylurea = hypoglycemia Alcohol + metformin = lactic acidosis Intermittent claudication lower extremity pain that occurs during physical activity such as walking and subsides with rest Ankle Brachial Index (ABI) this measures blood pressure in the ankle and at the arm while the client is at rest, and then is repeated 5 minutes after walking on a treadmill a normal ABI means what? Normally, the pressure at both the ankle and the arm should...

AAPC Official CPC Certification Study Guide Notes "hold harmless clause" - Answer ️️ -* found in some non-Medicare health plan contracts * prohibits billing to patient for anything beyond deductibles and co-pays. A compliance plan may offer several benefits, including: - Answer ️️ -* more accurate payment of claims * fewer billing mistakes * improved documentation and more accurate coding * less chance of violating self-referral and anti-kickback status A healthcare clearing h...

HCAD 375 Final Questions and Answers 2024 3 managerial viewpoints and how that influences $ management Financial: work with finance on a daily basis, responsible for the reporting function Process: work with the system of the organization, responsible for data accumulation Clinical: usually work with and interact directly with patients, responsible for service delivery also responsible for clinical outcomes Proprietary vs not-for-profit -pay all taxes -corporations, partnerships, or...