Ipps a d - Study guides, Class notes & Summaries

IPPS A DL FINAL EXAM HR PROFESSIONAL / PAYROLL SPECIALIST | ALL QUESTIONS AND CORRECT ANSWERS | ALREADY GRADED A+ | LATEST EXAM 2024

IPPS A DL FINAL EXAM HR PROFESSIONAL / PAYROLL SPECIALIST | ALL QUESTIONS AND CORRECT ANSWERS | ALREADY GRADED A+ | LATEST EXAM 2024

% - used as a wildcard when searching for queries. An example of this is %DUTY%, used in a search, would retrieve all queries with DUTY in the name like (NG_DUTY_STATUS). 360-Degree View - IPPS-A CRM functionality which allows Support Service personnel to view a summary of recent HR Help Desk activities and provides ticket and Personal Profile information for the requester. A UIC or organizational element in an organization hierarchy - A node on the Department Security Tree represents a de...

Calculate the following amounts for a participating provider who bills Medicare: Submitted charge (based on provider's regular fee for office visit) $ 75 Medicare physician fee schedule (PFS) $ 60 Coinsurance amount (paid by patient or supplemental insurance) $ 12 Medicare payment (80 percent of the allowed amount) $ ????? Medicare write-off (not to be paid by Medicare or the beneficiary) $ ????? correct answer: Medicare payment (80 percent of the allowed amount) $48 Medicare write-...

Through what document does a hospital establish compliance standards, o :## Code of Conduct What is the purpose OIG work plan? o :## Identify Acceptable compliance programs in various provider setting If a Medicare patient is admitted on Friday, what services fall within the three-day DRG window rule? o :## Non-diagnostic services provided on Tuesday through Friday What does a modifier allow a provider to do? o :## Report a specific circumstance that affected a procedure or service with...

What Act shaped how commercial insurance carriers approached the concepts of paying for medical care? - ANSWER-HMO Act of 1973 ACA - ANSWER-Affordable Care Act HMO (Health Maintenance Organization) - ANSWER-The organization is both the insurer and provider of a set of defined services. Patients within this network must use an in-network provider for their services to be covered. Capitation Payment - ANSWER-part of prospective payment in which healthcare providers receive fixed monthly p...

IPPS-A DL Final Exam - HR Professional / Payroll Specialist UPDATED Actual Exam Questions and CORRECT Answers An HR Professional may run pre-defined queries for _____. - CORRECT ANSWER- cases assigned to them within their provider group The "Workflow Template" and the "User Defined List" are options within _____. - CORRECT ANSWER- Workflow Type

OIG -:- Office of Inspector General- established by the Dept. of Labor by the Inspector General Act of 1978 to identify fraud and abuse of Medicare part A and part B programs MAC -:- Medicare Administrative Contractor - used by the OIG to process claims for services rendered Criteria for high quality documemtation -:- 1. Legible 2. Reliable 3. Precise 4. Complete 5. Consistent 6. Clear 7. Timely 2 | P a g e | G r a d e A + | 2 0 2 4 / 2 0 2 5 2 0 2 4 /2025 | © copyright ...

CRCR Exam Updated 2023/2024 With 100% Correct Answers (ACTUAL EXAM) Patient Centric Revenue Cycle - Correct answer-This includes all the major processing steps required to process a pt account from the request for service through closing the account with a zero balance and purging it from the system pre-service - Correct answer-this is the period in which scheduling and pre-access takes place, including different steps that will be completed pre...

TESTBANK FOR Fundamentals of Nursing, 11th Edition By Potter Perry Chapter 01: Nursing Today Potter: Fundamentals of Nursing, 11th Edition MULTIPLE CHOICE 1. Which nurse most likely kept records on sanitation techniques and the effects on health? a. Florence Nightingale b. Mary Nutting c. Clara Barton d. Lillian Wald ANS: A Nightingale was the first practicing nurse epidemiologist. Her statistical analyses connected poor sanitation with cholera and dysentery. Mary Nutting, Clara Ba...