Cms demonstration period - Study guides, Class notes & Summaries

NP Role Final Exam 159 Questions with Verified Answers In which specialty are most nurse practitioners educated? Peds Primary care Family Adult gerontology - CORRECT ANSWER primary care Which factor represents a potential barrier to Nurse Practitioner's practice in a primary care setting? Cost effectiveness Professional growth Aging baby boomers Collaboration agreements - CORRECT ANSWER Collaboration agreements Distinguish among the advanced practice registered nursing (APRN)...

Quality Bonus Payments - TO make quality of care a priority the Affordable Care Act set a requirement that CMS make quality bonus payments to Medicare Advantage plans that earn four or more stars in a five-star quality rating system would receive a bonus payment. Earning fewer than four stars would receive no bonus. Suspect Logic - Many organizations utilize a method such as this one to uncover diagnoses which are likely present but unreported or unknown Chart Reviews - Analysis of the inf...

PREDICTIVE MODELING - ANSWER-is an analytical review of known data elements to establish a hypothesis related to the future health needs of patients or a population of patients Suspect Logic - ANSWER-Many organizations utilize a method such as this one to uncover diagnoses which are likely present but unreported or unknown Chart Reviews - ANSWER-Analysis of the information identified is used to target retrospective reviews to capture any unreported diagnoses Suspect Logic Factors - ANSW...

CDEO Chapter 8 Exam Questions With 100% Correct Answers 2024

Suspect Logic - ANSWER-Many organizations utilize a method such as this one to uncover diagnoses which are likely present but unreported or unknown Chart Reviews - ANSWER-Analysis of the information identified is used to target retrospective reviews to capture any unreported diagnoses Suspect Logic Factors - ANSWER-* Known/Expected clinical progression of an illness or disease * DME needs * PDE * Laboratory test findings * CPT codes reported during the year in review * HCPCS codes rep...

1 CRCS EXAM | QUESTIONS & ANSWERS (VERIFIED) | LATEST UPDATE | GRADED A+ Medicare Part A Correct Answer: Covers individuals who are elderly (age 65 or older) and individuals with permanent disabilities, end stage renal disease (ESRD) or Lou Gehrig's disease Title XVIII Correct Answer: Medicare (title) Medicare part A Correct Answer: Covers inpatient hospitalizations, skilled nursing facility (SNF), home health & hospice Lifetime reserve days Correct Answer: 60 days of inpatient...

PREDICTIVE MODELING is an analytical review of known data elements to establish a hypothesis related to the future health needs of patients or a population of patients Suspect Logic Many organizations utilize a method such as this one to uncover diagnoses which are likely present but unreported or unknown Chart Reviews Analysis of the information identified is used to target retrospective reviews to capture any unreported diagnoses Suspect Logic Factors * Known/Expected ...

CDEO Chapter 8 Study Guide with Complete Solutions PREDICTIVE MODELING - Answer️️ -is an analytical review of known data elements to establish a hypothesis related to the future health needs of patients or a population of patients Suspect Logic - Answer️️ -Many organizations utilize a method such as this one to uncover diagnoses which are likely present but unreported or unknown Chart Reviews - Answer️️ -Analysis of the information identified is used to target retrospective r...

PREDICTIVE MODELING is an analytical review of known data elements to establish a hypothesis related to the future health needs of patients or a population of patients Suspect Logic Many organizations utilize a method such as this one to uncover diagnoses which are likely present but unreported or unknown Chart Reviews Analysis of the information identified is used to target retrospective reviews to capture any unreported diagnoses Suspect Logic Factors * Known/Expected ...

CPMA Exam questions and answers well illustrated. CMS Fraud Definition - correct answers.Making false statements or misrepresenting facts to obtain an undeserved benefit or payment from a federal healthcare program CMS Abuse Definition - correct answers.An action that results in unnecessary costs to a federal healthcare program, either directly or indirectly CMS Examples of Fraud - correct answers.Billing for services and/or supplies that you know were no...