Drg is used to Study guides, Class notes & Summaries
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CPB Certified Professional Biller Certification Exam Questions and Answers 2024
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Abuse - Actions inconsistent with accepted, sound medical business or fiscal practice 
 
Accept Assignment - Provider accepts as payment in full whatever is paid on the cliam by the payer (except for any copayment and or coinsurance amounts.) 
 
Accounts Receivable - The amount owed to a business for services or goods provided. 
 
Accounts Receivable Aging Report - Shows the status (by date) of outstanding claims from each payer, as well as payments due from patients. 
 
Accounts Receivable Mana...
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Revenue Cycle Management Ch. 9 Questions With Complete Solutions
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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-...
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HFMA CRCR | 172 Questions And Answers, 100% Verified Latest 2024
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HFMA CRCR | 172 Questions And Answers, 100% Verified Latest 2024 
HFMA CRCR | 172 Questions And Answers, 
100% Verified Latest 2024 
Through what document does a hospital establish compliance standards? 
code of conduct 
What is the purpose OIG work plant? 
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? 
Non-diagnostic service provided on Tuesday through Friday 
What doe...
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HFMA CRCR exam with 100% correct answers
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Through what document does a hospital establish compliance standards? - correct answer code of conduct 
 
What is the purpose OIG work plant? - correct answer 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? - correct answer Non-diagnostic service provided on Tuesday through Friday 
 
What does a modifier allow a provider to do? - correct answer Report a specific ci...
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NRNP 6675/ NURS NRNP 6675 Week 6 Midterm Exam ;NRNP 6675 Psychiatric Mental Health Nurse Practitioner Care Across The Lifespan II (100% solved)
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NRNP 6675/ NURS NRNP 6675 Week 6 Midterm Exam ;NRNP 6675 Psychiatric Mental Health Nurse Practitioner Care Across The Lifespan II (100% solved) 
1.	Which of the following are risk factors for neuroleptic malignant syndrome? Select all that apply 
•	Age 
•	Rapid dose escalation 
•	Parental route of administration 
•	Higher potency typical antipsychotics 
 
2.	Antipsychotic medications provide D2 blockade in the mesocortical pathway causing which of the following effects? 
•	Reduces nega...
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AAHAM Certified Revenue Cycle Professional (CRCP) Terms - 2015 (KD) Accurate 100%
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3-Day Rule - ANSWER Medicare regulation requiring that certain outpatient services within 72 hours of an inpatient admission must be included in the patient's inpatient claim and reimbursed under a DRG. 
 
8371 - ANSWER HIPAA standard transaction used by hospitals to submit claims electronically. 
 
837P - ANSWER HIPAA standard transaction that replaces the 1500 and is required of almost all physicians. 
 
838 - ANSWER quarterly Medicare Credit Balance Report 
 
1450 - ANSWER CMS 1450 form; ano...
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AAHAM Certified Revenue Cycle Professional (CRCP) Terms - 2023 (KD) Questions With Complete Solutions
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3-Day Rule correct answer: Medicare regulation requiring that certain outpatient services within 72 hours of an inpatient admission must be included in the patient's inpatient claim and reimbursed under a DRG. 
 
8371 correct answer: HIPAA standard transaction used by hospitals to submit claims electronically. 
 
837P correct answer: HIPAA standard transaction that replaces the 1500 and is required of almost all physicians. 
 
838 correct answer: quarterly Medicare Credit Balance Report 
 
...
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CCS Exam | Questions and Verified Answers| Latest 2023/ 2024 Update
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CCS Exam | Questions and Verified Answers| 
Latest 2023/ 2024 Update 
 
QUESTION 
Digital signatures are 
 
 
 
Answer: 
Cryptography that ensures a document is authentic 
Cryptography is a field that develops methods to ensure data security. A digital signature scheme 
is a public key that ensures a document is authentic 
 
 
 
QUESTION 
he convention "omit code" is found only in volume three and usually applies to which of the 
following? 
 
 
 
Answer: 
An exploratory procedure in...
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RHIT Domain 1 Exam Questions With 100% Verified Answers GUARANTEED SUCCESS Latest 2024/2025
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RHIT Domain 1 Exam Questions With 100% Verified Answers GUARANTEED SUCCESS Latest 2024/2025. Once hospital discharge abstract systems were developed and their ability to provide 
comparative data to hospitals was established, it became necessary to develop: 
Data sets 
Data elements 
Electronic data interchange 
Bills of mortality 
Data Set 
In long-term care, the resident's care plan is based on data collected in the? 
UHDDS 
OASIS 
MDS 
HEDIS 
MDS (Minimum Data Set) 
Which of the following st...
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NCMA Practice Test exam 2023 with 100% correct answers
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Changing an existing field, record, or file in a database is called 
 
indexing 
modification 
inserting 
appending 
modification 
 
 
 
IV medication is administered in which one of the following manners? 
 
Drops per minute 
Drops per hour 
Drops per 24-hour period 
Drops per second 
Drops per minute 
 
 
 
Which of the following is not a major objective that guided the development of ICD-10-PCS? 
 
These are all objectives used in the development of ICD-10-PCS. 
 
Multiaxial 
 
Expandability ...