Aaham Study guides, Class notes & Summaries

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 must combined the inpa- tient claim when they are provided b...

AAHAM Certified Revenue Cycle Professional (CRCP) Terms - 2024 (KD)

Credit and collections-Crcs Aaham Exam

Which collection points are the patient most likely to pay during? - ANS - Pre-admission and admission 5 collection control points - ANS - -admission sion -house discharge discharge Which percentage should be pre-registered within 24 hours of service date? - ANS - 70% to 90% Patient access responsibilities - ANS - uling - registration & pre-admission testing (pat) -certification & pre-authorization ient admitting & outpatient registration 5. Insurance verification 6. Financial cou...

AAHAM - CCT EXAM 2024 QUESTIONS AND ANSWERS AABB -Answer-American Association of Blood Banks; one of six CMS- approved accreditation organizations Abuse -Answer-Improperly, and often unknowingly, violating regulations ALJ hearing -Answer-The third level of Medicare appeal; the amount in controversy threshold for 2012 is $130 American Association of Blood Banks -Answer-AABB; one of six CMS - approved accreditation organizations. American Osteopathic Association -Answer-AOA; one of six CMS...

AAHAM Full Exam A hospital inpatient admit through discharge claim would be what Type of Bill (TOB) on the UB-04? - 111 True/False Average Daily Census is the average number of inpatients maintained in the hospital each day for a specific period of time. - True Which type of claim requires HCPCS/CPT codes? - Outpatient Claims Which of the following is not true of a CAH? -They must maintain no more than 25 inpatient beds that may be used for swing bed services -They may operate a...

AAHAM CCAT EXAM QUESTIONS & ANSWERS 2024/2025 APC - ANSWERSambulatory payment classification; a payment methodology in which services paid under the prospective payment system are classified into groups that are similar clincially and in terms of the resources they require; a payment rate is est. for each APC APR - ANSWERSannual percentage rate; one of the elements of disclosure required by the Truth in lending act ASSIGNMENT OF BENEFITS - ANSWERSa written authorization, signed by the...

AAHAM Certification Study Guide What are the Federal Agencies that are part of the U.S. Department of Health and Human Services (HHS)? - Centers of Medicare & Medicaid Services (CMS) Office of Inspector General (OIG) What are the HHS Operating Divisions? - National Institutes of Health (NIH) Food and Drug Administration (FDA) Centers of Disease Control and Prevention (CDC) Agency for Toxic Substances and Disease Registry (ATSDR) Indian Health Service (HIS) Health Resources and S...