Cms reimbursement rules Study guides, Class notes & Summaries
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AAPC CPB - Chapter 9 Review Test 2024.
- Exam (elaborations) • 8 pages • 2024
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AAPC CPB - Chapter 9 Review Test 2024.A ______ indicates the location or type of service provided for an inpatient and is reported with _______. 
 
a. Revenue code; four-digit code 
b. Revenue code; three-digit code 
c. CPT code; five-digit code 
d. MSDRG code; three-digit code - correct answer a. Revenue code; four-digit code 
 
Which of the following documentation is NOT needed for an audit? 
 
a. Encounter form 
b. Medical record 
c. Explanation of Benefits 
d. CMS-1500 claim form - correct a...
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CRCR EXAM WITH CORRECT CHOICES, CERTIFIED AND VERRIFIED 2023-2024
- Exam (elaborations) • 63 pages • 2023
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CRCR EXAM WITH CORRECT CHOICES, 
CERTIFIED AND VERRIFIED 
What are collection agency fees based on? - CORRECT ANSWER-A percentage of 
dollars collected 
Self-funded benefit plans may choose to coordinate benefits using the gender rule or 
what other rule? - CORRECT ANSWER-Birthday 
In what type of payment methodology is a lump sum or bundled payment negotiated 
between the payer and some or all providers? - CORRECT ANSWER-Case rates 
What customer service improvements might improve the patie...
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CRCR EXAM MULTIPLE CHOICE Exam 2024 With 100% correct answers
- Exam (elaborations) • 68 pages • 2024
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What are collection agency fees based on? - correct answer A percentage of dollars collected 
Self-funded benefit plans may choose to coordinate benefits using the gender rule or what other rule? - correct answer Birthday 
In what type of payment methodology is a lump sum or bundled payment negotiated between the payer and some or all providers? - correct answer Case rates 
What customer service improvements might improve the patient accounts department? - correct answer Holding staff accountabl...
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CPC-C NCCT PART 2 QUESTIONS AND ANSWERS 100% PASS
- Exam (elaborations) • 8 pages • 2024
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CPC-C NCCT PART 2 QUESTIONS AND 
ANSWERS 100% PASS 
The intent of the privacy rules is best represented by the following term: - Answer- 
patient information 
Which incident would be considered a breach of protected health information? - 
Answer-Beneficiary's photograph on a health insurance brochure w/ verbal consent 
According to HIPAA, an information release form must contain: - Answer-the specific 
identity of the person or organization that will be receiving the information. 
What element ...
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CRCR EXAM TEST BANK LATEST 2023-2024 WITH 400+ QUESTIONS AND VERIFIED ANSWERS 100% COMPLETE
- Exam (elaborations) • 73 pages • 2023
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CRCR EXAM TEST BANK LATEST 2023-2024 WITH 400+ QUESTIONS AND VERIFIED ANSWERS 100% COMPLETE 
When does a hospital add ambulance charges to the Medicare inpatient claim? - ANSWER- If the patient requires ambulance transportation to a skilled nursing facility 
 
How should a provider resolve a late-charge credit posted after an account is billed? - ANSWER- Post a late-charge adjustment to the account 
 
an increase in the dollars aged greater than 90 days from date of service indicate what about a...
Too much month left at the end of the money?
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CRCR Exam Prep Questions and Answers 100% Verified and Updated 2024
- Exam (elaborations) • 26 pages • 2024
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CRCR Exam Prep Questions and Answers 100% 
Verified and Updated 2024 
HFMA -Answer-Healthcare Financial Management Association 
Revenue Cycle Overview: What are the 3 segments? -Answer-Pre-Service, Time of 
Service, Post-Service 
Scheduling is part of which segment of the Revenue Cycle? -Answer-Pre-service 
Patient-Centric Revenue Cycle -Answer-1) Engaged Consumer 
2) Engaged Patient 
3) Satisfied Customer 
Healthcare Dollars & Sense -Answer-1) Price Transparency 
2) Patient Financial Communicat...
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AAPC CPB - Chapter 9 Review questions and answers 2024/2025
- Exam (elaborations) • 8 pages • 2024
- Available in package deal
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- $14.99
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AAPC CPB - Chapter 9 ReviewA ______ indicates the location or type of service provided for an inpatient and is reported with _______. 
 
a. Revenue code; four-digit code 
b. Revenue code; three-digit code 
c. CPT code; five-digit code 
d. MSDRG code; three-digit code - correct answer a. Revenue code; four-digit code 
 
Which of the following documentation is NOT needed for an audit? 
 
a. Encounter form 
b. Medical record 
c. Explanation of Benefits 
d. CMS-1500 claim form - correct answer c. Ex...
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CRCR EXAM TEST BANK LATEST 2023-2024 WITH 400+ QUESTIONS AND CORRECT ANSWERS (VERIFIED ANSWERS) 100% COMPLETE When does a hospital add ambulance charges to the Medicare inpatient claim? - ANSWER- If the patient requires ambulance transportation to a skill
- Exam (elaborations) • 73 pages • 2023
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- $27.99
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CRCR EXAM TEST BANK LATEST 
WITH 400+ QUESTIONS AND CORRECT 
ANSWERS (VERIFIED ANSWERS) 100% 
COMPLETE 
When does a hospital add ambulance charges to the Medicare inpatient claim? - 
ANSWER- If the patient requires ambulance transportation to a skilled nursing 
facility 
How should a provider resolve a late-charge credit posted after an account is 
billed? - ANSWER- Post a late-charge adjustment to the account 
an increase in the dollars aged greater than 90 days from date of service indicate 
...
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C428 WGU Exam with Complete Solution
- Exam (elaborations) • 18 pages • 2023
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C428 WGU Exam with Complete Solution 
 
The 4 C's (Finance Activities) *Costs------>monitor costs 
*Cash------>keep enough cash 
*Capital------ >raise needed capital(money) to invest 
*Control----->control resources 
 
Accountable Care Organization Accountable Care Organizations(ACOs) are groups of Medicare providers and suppliers that work together to coordinate care for traditional Medicare patients. 
 
Their goal is to deliver seamless, high-quality care instead of the fragmented...
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AAPC CRC study guide with 100% correct answers
- Exam (elaborations) • 21 pages • 2023
- Available in package deal
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which medicare part is reimbursed based on the risk adjustment models 
part c 
 
 
 
who typically employs risk adjustment coders 
health plans 
 
 
 
is a health plan required to follow the minimum necessary rule 
yes, health plans are covered entities and are therefore required to follow the minimum necessary rule 
 
 
 
what is an example of fraud 
reporting a diagnosis or co-morbidity that does not exist to obtain higher reimbursement 
 
 
 
which part of medicare is also called medicare adv...
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