837p - Study guides, Class notes & Summaries

CPAT/CCAT Exam Questions & Answers 2024/2025 1 DAY RULE - ANSWERSa requiremet that all diagnostic or outpatient services furnished in connection with the principle admitting diagnosis within one day prior to the hospital admission are bundled with the inpatient services for Medicare billing. 3 DAY RULE - ANSWERSa requirement that all diagnostic or outpatient services furnished in connection with the principle admitting diagnosis within three days prior to the hospital admission are bundl...

Certified Revenue Cycle Specialist (CRCS) Practice Exam Questions and Answers 1-Day Rule - Correct Answer ️️ -requirement that all diagnostic or outpatient services furnished in connection with the principle admitting diagnosis within on day prior to the hospital admission are bundled with the inpatient services for Medicare billing 3-Day Rule - Correct Answer ️️ -requirement that all diagnostic or outpatient services furnished in connection with the principle admitting diagnosis w...

HCFA stands for : - Health Care Financing Administration The HCFA-1500 paper health insurance form was developed in______ by ________________ : - 1975; Health Care Financing Administration (HCFA) The HCFA claim form was developed to be used by providers for what purpose? - Billing Medicare for outpatient services HCFA changed its name to what in July of 2001? - Center for Medicare and Medicaid Services (CMS) HCFA-1500 claim form was changed to this in July of 2001 : - CMS-1500 Universal C...

CHDA Domain 2 (Data Acquisition and Management) Exam Study Guide |Graded A+| An audit tracking DB would contain information from the health care claim payment advice that is in what format? *Ans* 835 (originally payment and remittance advice was one transaction, the ASC X12 835 Payment and Remittance Advice, which supplied information about what payment was made on which claims) Data showing a physician's professional fee charges would be found on which billing format? *Ans* CMS-1...

AAHAM CRCE 2024 EXAM STUDY GUIDE WITH COMPLETE SOLUTIONS 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 ...

Patient demographics refers to: Address, phone number, emergency contact, employer information, copy of patient's identification. Rationale: The staff registering the patient will obtain the patient's demographics (address, phone number, emergency contact, employer information, copy of the patient's identification). The following is TRUE about the chargemaster: It must be updated when coding changes occur. Rationale: A department review should be performed at least annually ...

AAHAM Certified Revenue Cycle Professional (CRCP) Terms – 2015 updated (KD)fully solved 3-Day Rule - correct answer Medicare regulation requiring that certain outpatient services within 72 hours of an inpatient admission must be included in the patient's inpatient claim and reimbursed under a DRG. 8371 - correct answer HIPAA standard transaction used by hospitals to submit claims electronically. 837P - correct answer HIPAA standard transaction that replaces the 1500 and is required of ...

AAHAM CRCE 2024 EXAM STUDY GUIDE WITH COMPLETE SOLUTIONS 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 ...

835 Electronic transmission of RA/EOB information. 837P The electronic version of a professional claim form. aging report A report that shows the length of outstanding balances in the system. Identifies outstanding patient balances that are considered overdue. appeal The official process of requesting a review of a claim that was underpaid or denied. Not used for rejected claims. claims editing A step in the claims process in which appropriate codes and rules ...

To examine claims for accuracy and completeness before they are submitted is to______the claims. - Answer-Audit A claim that is printed and mailed to the carrier is called a ______copy. - Answer-Hard The current Healthcare Claim Form has also been called: - Answer-HCFA 1500,the universal claim form, CMS-1500 The transaction and code sets for the CMS-1500 are called the: - Answer-837P The medical assistant should do which of the following when a new patient comes to the office? - Answ...