According to cms - Study guides, Class notes & Summaries

Medical Coding Training: CPC exam {124 QUESTIONS AND ANSWERS} Which statement below describes a medically necessary service? A. Performing a procedure/service based on cost to eliminate wasteful services. B. Using the least radical service/procedure that allows for effective treatment of the patient's complaint or condition. C. Using the closest facility to perform a service or procedure. D. Using the appropriate course of treatment to fit within the patient's lifestyle. - CORREC...

What two accreditors state: a hospital may not rely solely on board certification when considering practitioner for medical staff membership? -Answer HFAP, CMS According to JC & HFAP name four approved sources PSV for Medical Education -Answer Medical School, AMA, ECFMG, AOA According to NCQA practitioners must be notified of credentialing decision within how many days? -Answer 60 Days The DHHS mails a copy of the NPDB report to the named provider. If the provider wishes to dispute the re...

Certified Provider Credentialing Specialist (CPCS) Study Guide (2023/2024) Rated A+ Certified Provider Credentialing Specialist The Certified Provider Credentialing Specialist (CPCS) is typically employed or contracted by a healthcare organization including, but not limited to, hospitals (health systems), health plans, ambulatory care settings, group practices, and credentialing verification organizations. Initial Appointment / Clinical privileges/ practioners covered according to the TJC All l...

What two accreditors state: a hospital may not rely solely on board certification when considering practitioner for medical staff membership? - HFAP, CMS According to JC & HFAP name four approved sources PSV for Medical Education - Medical School, AMA, ECFMG, AOA According to NCQA practitioners must be notified of credentialing decision within how many days? - 60 Days The DHHS mails a copy of the NPDB report to the named provider. If the provider wishes to dispute the reports accuracy, th...

CPCS Exam UPDATED Actual Exam Questions and CORRECT Answers What two accreditors state: a hospital may not rely solely on board certification when considering practitioner for medical staff membership? - CORRECT ANSWER - HFAP, CMS According to JC & HFAP name four approved sources PSV for Medical Education - CORRECT ANSWER - Medical School, AMA, ECFMG, AOA

CPCO Test Prep | 36 Questions with 100% Correct Answers | Latest Update 2024 | Rated A+ Does Medicare pay for all tests ordered by Providers? - No, they need to determine if it's covered and medically necessary. For larger physician practices, how often does the OIG suggest reporting compliance activities to the board of directors? - Regularly According to the OIG, medically unnecessary services can be billed to Medicare for what purpose? - To receive a denial so a claim can be submitted...

Name two key components that make up Sitecore XP. - Experience CMS and marketing platform What should you do before contacting support? - Refer to Help Desk best practices What are your responsibilities as a developer? - Build according to recommended practices Name three Sitecore interfaces - Desktop, Content Editor, Experience Editor Everything in Sitecore is an... - Item An item is not a... - File An item's URL is determined by... - It's position in the Content tree

AAPC CPC Exam Questions and Answers 2023 What type of provider goes through approximately 26 1/2 months of education and is licensed to practice medicine with the oversight of a physician? Physician Assistant (PA) The ____ describes whether specific medical items, services, treatment procedures, or technologies are considered medically necessary under Medicare National Coverage Determinations LCD's only have jurisdiction in their ____ area. Regional ABN stands for Adva...

Program Summary...............................................................................................................................................................4 Semester Duration...............................................................................................................................................................4 Eligibility........................................................................................................................................

NAB Practice Questions/ 205+ Q&A/ . Terms like: According to the federal certification standards, the QA committee is required to meet? 1. When a problem arises that requires immediate attention 2. At least twice a year 3. At least quarterly 4. When directed by the medical director - Answer: 3. CMS requires the QA committee to meet quarterly