Question
1. When leaving voice mails for patients owing you, what information is generally permissible to mention? a) name of the facility calling b) age of
1. When leaving voice mails for patients owing you, what information is generally permissible to mention?
a) name of the facility calling
b) age of balance owed
c) list of services performed
d) collection balance
2. The hospital's charge master usually includes all EXCEPT
a) patient gender
b) prices of services
c) procedure codes and descriptions
d) hospital department/centers
3. What POA indicator is reported when the provider cannot clinically determine whether the condition was present at the time of admission?
a) 1
b)W
c) U
d) N
4. What POA indicator is reported when the documentation is insufficient to determine whether the condition was present at the time of inpatient admission?
a) 1
b) W
c) U
d) N
5. A CO50 claim adjustment reason code (not medically necessary) needs to be:
6. For inpatients, what components for the patient determine the DRG for payment?
7. Which of the following represents a typical collection process?
a) Send statement, call or send letters every 15 days prior to turning over to collection agency
b) If self pay, immediately begin to call and send statements every 15 days before turning over to a collection agency
c) Send statement, call or send letters every 5 days prior to turning over to collection agency
8. Which of the following would NOT be reported as a Never Event?
a) Object left in body following surgery
b) Appendicitis following knee replacement surgery
c) Knee replacement of wrong knee
9. The goal of RAC (Recovery Audit Contractor) is
a) Identify and recover improper payments made on Medicare beneficiaries
b) Harass hospital billers
c) Identify and pay additional payments made on Medicare beneficiaries
10. The prefix PR claim adjustment code on a remit may indicate
a) Deductible
b) Contractual obligation
C) Insurance payment
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