What does emtala do - Study guides, Class notes & Summaries

HFMA CRCR 2023//2024 Through what document does a hospital establish compliance standards? - ANSWER code of conduct What is the purpose OIG work plant? - ANSWER Identify Acceptable compliance programs in various provider setting If a Medicare patient is admitted on Friday, what services fall within the three-day DRG window rule? - ANSWER Non-diagnostic service provided on Tuesday through Friday What does a modifier allow a provider to do? - ANSWER Report a specific circumstance that...

COBRA - Consolidated Omnibus Budget Reconciliation Act Consolidated Omnibus Budget Reconciliation Act; what - a 1986 federal law that allows for the temporary extension of group health coverage to people whose health benefits otherwise would be terminated. (i.e. if you lose your job) Consolidated Omnibus Budget Reconciliation Act; when - 1986 Do employers have to offer COBRA? - > Generally speaking, group health plans maintained by private-sector employers with 20 or more workers are s...

Ambulatory Care Test Questions What characterizes Inpatient Care stays? - They are at least one overnight stay "ambul" means - walking Three interrelated trends regarding inpatient care and ambulatory care: - Because inpatient care is so expensive, payers won't pay for an overnight stay if it isn't medically necessary Hospital based outpatient care is more expensive than non-hospital based outpatient care Busy people demand convenient care Hospitals must maintain all the expen...

CRCR EXAM MULTIPLE CHOICE, CRCR Exam Prep, Certified Revenue Cycle Representative - CRCR (2024) What are collection agency fees based on? -Answer-A percentage of dollars collected Self-funded benefit plans may choose to coordinate benefits using the gender rule or what other rule? -Answer-Birthday In what type of payment methodology is a lump sum or bundled payment negotiated between the payer and some or all providers? -Answer-Case rates What customer service improvements might improve ...

HFMA CRCR Exam Questions and Answers Through what document does a hospital establish compliance standards? - Answer- code of conduct What is the purpose OIG work plant? - Answer-Identify Acceptable compliance programs in various provider setting If a Medicare patient is admitted on Friday, what services fall within the three-day DRG window rule? - Answer-Non-diagnostic service provided on Tuesday through Friday What does a modifier allow a provider to do? - Answer-Report a specific circum...

Comlex Ethics Level 2 Exam Questions and Answers 2024 What is respondeat superior or vicarious liability? -Answer-it is when an employer is responsible for the actions of their employees. Both terms essentially mean the same thing. what is res ipsa loquitur? -Answer-it is when a physician acts negligently to lead to an accident. the thing speaks for itself Example is if a physician prescribes the wrong medication leading to injury or leaves a scalpel inside someone . What is contributor...

HFMA CRCR Exam Questions and Answers Through what document does a hospital establish compliance standards? - Answer- code of conduct What is the purpose OIG work plant? - Answer-Identify Acceptable compliance programs in various provider setting If a Medicare patient is admitted on Friday, what services fall within the three-day DRG window rule? - Answer-Non-diagnostic service provided on Tuesday through Friday What does a modifier allow a provider to do? - Answer-Report a specific circum...

HFMA CRCR Exam Questions and Answers 100% Pass Through what document does a hospital establish compliance standards? -Answer- code of conduct What is the purpose OIG work plant? -Answer-Identify Acceptable compliance programs in various provider setting If a Medicare patient is admitted on Friday, what services fall within the three-day DRG window rule? -Answer-Non-diagnostic service provided on Tuesday through Friday What does a modifier allow a provider to do? -Answer-Report a specific...

HFMA CRCR exam 2023/2024 with 100% correct answers updated Through what document does a hospital establish compliance standards? - ANSWERS code of conduct What is the purpose OIG work plant? - ANSWERS Identify Acceptable compliance programs in various provider setting If a Medicare patient is admitted on Friday, what services fall within the three-day DRG window rule? - ANSWERS Non-diagnostic service provided on Tuesday through Friday What does a modifier allow a provider to do? - ANS...

________ investigates EMTALA violations - CMS EMTALA was enacted in 1986 for what purpose? - "Anti-dumping law" - pts cannot be turned away or transferred based on ability to pay T/F: A physician assistant acts as agent of physician and hospital - therefore, under EMTALA - T T/F: Any hospital that accepts Medicare HAS to agree to abide by EMTALA regulations - T T/F: OB pts with contractions are considered unstable until delivery of baby, not necessarily the placenta - F - delivery of bab...