Question
When leaving voice mails for patients owing you, what information is generally permissible to mention? Question options: name of facility calling age of balance owed
When leaving voice mails for patients owing you, what information is generally permissible to mention?
Question options:
name of facility calling | |
age of balance owed | |
list of services performed | |
collection balance |
The hospital's charge master usually includes all EXCEPT
Question options:
Patient gender | |
Prices of services | |
Procedure codes and descriptions | |
Hospital departments/cost centers |
What POA indicator is reported when the provider cannot clinically determine whether the condition was present at the time of admission?
Question options:
1 | |
W | |
U | |
N |
What POA indicator is reported when the documentation is insufficient to determine whether the condition was present at the time of inpatient admission?
1 | |
W | |
U | |
N |
A CO50 claim adjustment reason code (not medically necessary) needs to be:
written off by provider | |
billed to patient | |
billed to another provider | |
ignored |
For inpatients, what components for the patient determine the DRG for payment?
procedure and diagnosis codes | |
procedure, diagnosis codes and factors affecting the outcomes of treatment | |
factors that affect outcome of treatment | |
principle diagnosis code |
Which of the following represents a typical collection process?
Send statement, call or send letters every 15 days prior to turning over to collection agency | |
If self pay, immediately begin to call and send statements every 15 days before turning over to a collection agency | |
Send statement, call or send letters every 5 days prior to turning over to collection agency | |
Send statement, wait 30 days then turn over to collection agency |
Which of the following would NOT be reported as a Never Event?
Object left in body following surgery | |
Appendicitis following knee replacement surgery | |
Knee replacement of wrong knee | |
Pulmonary embolism following knee replacement |
When a patient is in the Emergency Room, what status are they considered?
outpatient | |
inpatient | |
surgical | |
none of the above |
The goal of RAC (Recovery Audit Contractor) is
Identify and recover improper payments made on Medicare beneficiaries | |
Harass hospital billers | |
Identify and pay additional payments made on Medicare beneficiaries | |
None of the above |
The prefix PR claim adjustment code on a remit may indicate
Deductible | |
Provider Adjustment | |
Contractual obligation | |
Insurance payment |
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