Insurance and coding - Study guides, Class notes & Summaries

NCCT Insurance and Coding Specialist Certification Test When a capitation account is applied to the ledger it is also known as a -- Correct Answer-monthly prepayment amount Which of the following reports is used to follow up on outstanding claims to third party payers? Correct Answer-aging Developing an insurance claim begins -- Correct Answer-When the patient calls to schedule an appointment. Which of the following patient information is needed to determine a Medicaid sliding fee scal...

(The correct answer has been verified, selected and highlighted in yellow for all of the questions below.) 1 What form is used to submit a provider’s charge to the insurance carrier? a. ABN b. UB-04 c. CMS-1500 d. Provider reimbursement form 2 AAPC credentialed coders have proven mastery of what information? a. Code sets b. Evaluation and management principles c. Documentation guidelines d. All of the above 3 When coding an operative report, what action would NOT be recommended? a....

Analytical Methods of Healthcare Leaders - D514 Verified Answers In conversations with her patients, a physical therapist notices that patients who are on Workman's Compensation and have supportive supervisors, eager for them to return to work, have more positive outcomes in rehabilitation than those patients whose supervisors have a negative attitude toward their employee's injury: insisting they not return to work until they are at 100% because if anything less they are "useless t...

NRNP 6568 Final Exam Test Questions With Correc t Answers 2023 | 2024 (Already Graded) If an NP is at a social gathering and someone casually asks his/her medical opinion, that NP could be liable if something goes wrong. True or false? Selected Answer: True Answers: True Fals e  Question 10 1 out of 1 points Telemedicine is defined as Selected Answer: When care is provided remotely and the provider and patient are not physically present with each other Answers: When care is pro...

AMCA BILLING & CODING TEST (ANSWERS) Complete Solutions 2023/ 2024 What type of insurance allows treatment virtually anywhere with a high deductible that policy holders are willing to pay? a. COBRA b. EPO c. PPO d. HMO C Veterans with service related disabilities are eligible for case under which of the following programs: a. CHAMPUS b. Medicare c. CHAMPVA d. TRICARE C _______________________ is usually sponsored and partially paid by an employer. a. TRICARE b. Private Insurance ...

NCCT Chapter 4 Insurance And Coding Exam Questions With Verified Solutions 100% 2024

PACS Question Bank And Answers (Verified And Updated) _______ processes are layers of testing that must be done before others. - answerstep What is documented in the patient medical records? - answer• Laboratory and other studies are ordered as appropriate • Working diagnoses that are consistent with findings • Treatment plans that are consistent with diagnosis True or False: Biologics can be tiered to a lower tier that also contains other biologic products. - answerTrue What staf...

Healthcare Reimbursement 2 Questions and Answers Already Passed What is the role of the Centers for Medicare and Medicaid Services (CMS) in healthcare reimbursement? The Centers for Medicare and Medicaid Services (CMS) administers federal healthcare programs, sets reimbursement rates, and develops regulations that affect how providers are paid. How do diagnosis-related groups (DRGs) function in inpatient reimbursement? Diagnosis-related groups (DRGs) are a classification system ...

NCCT Insurance & Coding Practice Test Questions with Correct Answers Latest (100% Solved) A patient had surgery two weeks ago to repair a dislocated ankle, and returns today to have a flexor tendon in the hand repaired. Which of the following modifiers should be reported for today's service? - Answer- -79 A patient has called to schedule an appointment for an office visit to see the doctor tomorrow for an earache. It is discovered during the scheduling process that the insurance policy on...

Complete Solutions Manual for Understanding Health Insurance, A Guide to Billing and Reimbursement, 2024 Edition, 19th Edition by Michelle A. Green ; ISBN13: 9780357932063.....(Full Chapters included and organized in reverse order from Chapter 17 to 1)...1. Health Insurance Specialist Career. 2. Introduction to Health Insurance and Managed Care. 3. Introduction to Revenue Management. 4. Revenue Management: Insurance Claims, Denied Claims and Appeals, and Credit and Collections. 5. Legal Aspe...