Billing regulations - Study guides, Class notes & Summaries

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 beneficiaries and providers includes all of the following levels EXCEPT: a) Medical necessity revie...

Medicare Hospital Acute Inpatient Payment System Chapter 5 Graded A+ What is the primary purpose of the Medicare Hospital Acute Inpatient Payment System? The primary purpose of the Medicare Hospital Acute Inpatient Payment System is to reimburse hospitals for the costs associated with inpatient care for Medicare beneficiaries. How are payments determined under the Medicare Hospital Acute Inpatient Payment System? Payments are determined using a diagnosis-related group (DRG) system, w...

A recurring/series registration is characterized by a) A creation of multiple registrations for multiple services b) The creation of one registration record for multiple days of service c) The creation of multiple patient types for one date of service d) The creation of one registration record per diagnosis per visit - B A four digit number code established by the National Uniform Billing Committee (NUBC) that categorizes/classifies a line item in the charge master is known as a) HCPCs co...

Dietetics Practice Standards - Answer Code of Ethics. Standards of Practice and Standards of Professional Performance. Federal and state regulations. Organization accreditation standards. Organization and program policies. Practice Management and Advancement - Answer Scope of Practice Decision Tool. CDR Professional Development portfolio. Certificate programs. Advanced degrees and certifications. Specialist credentials. Practice Resources - Answer Evidence Analysis Library...

1. A financial counselor/Financial Assistance: In accordance with Section 501(r) regulations through the Affordable Care Act, a hospital must establish a written financial assistance policy and make it available to patients. 2. Batch Processing: Execution of a series of jobs in a computer program without manual intervention; it is used to help maximize the use of computer resources and stabilize response time by performing system-intensive work during hours when users are less likely to require...

Medical Billing & Coding as a Career - ️️*Claims assistant professional or claims manager, *Coding Specialist, * Collection Manager, *Electronic Claims Processor, *Insurance Billing Specialist, * Insurance Coordinator, *Insurance Counselor, *Medical Biller, *Medical & Financial Records Manager, * Billing & Coding Specialist What are Medical Ethics? - ️️Standards of conduct based on moral principle. They are generally accepted as a guide for behavior towards pt's, dr's, co-workers, t...

AHIMA Revenue Cycle Management Best Practices – Quiz with Complete Solutions In the revenue cycle, what is the role of Administration? - Strategic goals - Operational efficiency and effectiveness In the revenue cycle, what is the role of Finance? Cash flow In the revenue cycle, what is the role of Managed Care/ Payer Services? - Contract management - Material breach issues affecting reimbursement (claims projects) In the revenue cycle, what is the role of Patient Access? -...

CBCS Exam Study Guide Questions & Answers 2023/2024 Medical Billing & Coding as a Career - ANSWER-*Claims assistant professional or claims manager, *Coding Specialist, * Collection Manager, *Electronic Claims Processor, *Insurance Billing Specialist, * Insurance Coordinator, *Insurance Counselor, *Medical Biller, *Medical & Financial Records Manager, * Billing & Coding Specialist What are Medical Ethics? - ANSWER-Standards of conduct based on moral principle. They are generally accepted ...

1. Medical Ethics ANS Standards of conduct based on moral principals. Acting within ethical behavior boundries means carrying out one's responsibilities with integrity, decency, respect, honesty, competence, fairness and trust. 2. Compliance Regulations ANS Most billing related cases are based on HIPAA and the False Claims Act. 3. HIPAA is an acronym for ANS Health Insurance Portability and Accountability Act of 1996. 4. Category 1 CPT codes ANS Medical Procedures. 5. Category 2 CPT cod...

What are Medical Ethics? - Answer-Standards of conduct based on moral principle. they are generally accepted as a guide for behavior towards pt's, dr's, coworkers, the gov, and ins co's What does acting within ethical behavior boundaries mean? - Answer-Carrying out one's responsibilities with integrity, dignity, respect, honesty, competence, fairness, and trust Compliance regulations - Answer-Most billing-related cases are based on HIPAA and False Claims Act Health Insurance Portabi...