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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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