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AAHAM CRCS-I Complete Questions & Answers
Identify federal agencies playing a major role in healthcare - ANSWER Department of Health and Human Services (BHHS) and Centers for Medicare and Medicaid Services (CMS) General provisions of major federal regulations - ANSWER Patient rights, Affordable care, Anti-Fraud and abuse, Credit and Collections, Regulation 501, Patient anti-dumping, Laboratory licensing, and other areas addressed by HIPAA Roles of The Joint Commission - ANSWER Accreditation as requirement of participation in Medic...
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Identify federal agencies playing a major role in healthcare - ANSWER Department of Health and Human Services (BHHS) and Centers for Medicare and Medicaid Services (CMS) General provisions of major federal regulations - ANSWER Patient rights, Affordable care, Anti-Fraud and abuse, Credit and Collections, Regulation 501, Patient anti-dumping, Laboratory licensing, and other areas addressed by HIPAA Roles of The Joint Commission - ANSWER Accreditation as requirement of participation in Medic...
AAHAM Full Exam| 106 Questions| Correct Answers(RATED A)
A hospital inpatient admit through discharge claim would be what Type of Bill (TOB) on the UB-04? - ANSWER 111 True/False Average Daily Census is the average number of inpatients maintained in the hospital each day for a specific period of time. - ANSWER True Which type of claim requires HCPCS/CPT codes? - ANSWER 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
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A hospital inpatient admit through discharge claim would be what Type of Bill (TOB) on the UB-04? - ANSWER 111 True/False Average Daily Census is the average number of inpatients maintained in the hospital each day for a specific period of time. - ANSWER True Which type of claim requires HCPCS/CPT codes? - ANSWER 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
AAHAM Certified Revenue Cycle Professional (CRCP) Terms - 2015 (KD) Accurate
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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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...
AAHAM CRCE 2024 EXAM STUDY GUIDE
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 ...
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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 ...
AAHAM Certification(2024 Latest Update)Accurate
What are the Federal Agencies that are part of the U.S. Department of Health and Human Services (HHS)? - ANSWER Centers of Medicare & Medicaid Services (CMS) Office of Inspector General (OIG) What are the HHS Operating Divisions? - ANSWER 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 Services Administration (SA...
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What are the Federal Agencies that are part of the U.S. Department of Health and Human Services (HHS)? - ANSWER Centers of Medicare & Medicaid Services (CMS) Office of Inspector General (OIG) What are the HHS Operating Divisions? - ANSWER 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 Services Administration (SA...
AAHAM Correct Questions & Answers(Latest Update 2024)
ABN - ANSWER Advanced Beneficiary Notice ACF - ANSWER Administration for Children and Families ADC - ANSWER Average Daily Census AFDC - ANSWER Aid to Families with Dependent Children AHRQ - ANSWER Agency for Healthcare research and Quality
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ABN - ANSWER Advanced Beneficiary Notice ACF - ANSWER Administration for Children and Families ADC - ANSWER Average Daily Census AFDC - ANSWER Aid to Families with Dependent Children AHRQ - ANSWER Agency for Healthcare research and Quality
AAHAM|35 Questions| Correct Answers| Verified(RATED A)
The billing form for hospital claims - ANSWER UB04 (CMS 1450 & 8371) Lifetime reserve amounts are calculated based on a per day allowance at: - ANSWER 50% of the Medicare Part A deductible What is the coinsurance amount for days 1-20 for SNF care? - ANSWER $0.00 A clean claim is all of the following except - ANSWER Needs investigation The UB04 code that identifies a specific accommodation, ancillary service
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The billing form for hospital claims - ANSWER UB04 (CMS 1450 & 8371) Lifetime reserve amounts are calculated based on a per day allowance at: - ANSWER 50% of the Medicare Part A deductible What is the coinsurance amount for days 1-20 for SNF care? - ANSWER $0.00 A clean claim is all of the following except - ANSWER Needs investigation The UB04 code that identifies a specific accommodation, ancillary service
AAHAM Certified Revenue Cycle Professional (CRCP) Terms - 2015 (KD)
3-Day Rule - ANSWER a requirement that all diagnostic or outpatient services furnished in connection with the principle admitting diagnosis within three days prior to the hospital admission are bundled with the inpatient services for Medicare billing 837I - ANSWER the American National Standards Institute transaction for an institutional claim; as a result of HIPAA, it is replacing the electronic UB-04. 837P - ANSWER a former American National Standards Institute transaction for a professi...
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3-Day Rule - ANSWER a requirement that all diagnostic or outpatient services furnished in connection with the principle admitting diagnosis within three days prior to the hospital admission are bundled with the inpatient services for Medicare billing 837I - ANSWER the American National Standards Institute transaction for an institutional claim; as a result of HIPAA, it is replacing the electronic UB-04. 837P - ANSWER a former American National Standards Institute transaction for a professi...
AAHAM - CCT EXAM Accurate Correct 100%
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 - approved accreditation organizat...
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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 - approved accreditation organizat...
AAHAM CRCS Exam STUDY MANUAL CH 5 Credits and Collections 100% Accurate
Charity Care - ANSWER service provided that is never expected to result in cash flow. Charity Care results from a provider's policy to provide healthcare services free of charge or at a reduced cost to individuals who meet certain financial criteria. Indigent - ANSWER an individual who has no means of paying for medical services or treatments and is not eligible for benefits under Medicaid or any other public assistance program bad Debt - ANSWER an uncollectible account resulting from the...
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Charity Care - ANSWER service provided that is never expected to result in cash flow. Charity Care results from a provider's policy to provide healthcare services free of charge or at a reduced cost to individuals who meet certain financial criteria. Indigent - ANSWER an individual who has no means of paying for medical services or treatments and is not eligible for benefits under Medicaid or any other public assistance program bad Debt - ANSWER an uncollectible account resulting from the...
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