Question 101 out of 1 pointsA claim is rejected due to missing diagnoses for the surgical services charges on the claim. Which revenue cycle department will need to reviewthe account?
Question 11 0 out of 1 points Which of the following is NOT a requirement of valid authorization to release a patient’s PHI? Question 12 1 out of 1 points Which two activities occur in the Pre-Patient Encounter component of the revenue cycle? Question 131 out of 1 pointsAccording to the Department of Health and Human Services, the most frequent privacy complaint is because of: Question 141 out of 1 pointsWhat should a Medicare patient be a given before services are provided if those services are not covered by Medicare? Question 151 out of 1 pointsBased on the information in the chart below which payer has the largest difference between charges and payments which results in less reimbursement for the same services provided by the healthcare organization? PayerChargesPaymentsAdjustments(Difference between Charges and Payments)% of Total OrganizationCharges% of Total Organization PaymentsReceivedBC/BS$ 500,000$ 475,000$ 25,00020%26%Medicaid$ 360,000$ 89,000$271,00014%Medicare$1,225,550$ 995,000$230,55049%54%Worker’s $ 150,000$ 50,000$100,0006% 5% 3%
CompCommercial$ 275,000$ 225,500$ 49,50011%Totals$2,510,550$1,834,500$676,050100%100% 12% Question 160 out of 1 pointsWhich is NOT a reason why an insurance carrier may deny a claim and require a formal appeal? Question 171 out of 1 pointsMedicare Part A provides coverage for a skilled nursing facility (SNF). Medicare patients are eligible for up to _______days of SNF care during a benefit period. Question 18 1 out of 1 points Which is NOT a required field in the charge description master (CDM)? Question 19 1 out of 1 points Which individual is responsible for responding to inquiries about HIPAA privacy rules? Question 20 1 out of 1 points Which two financial strategies do hospitals use to improve their bottom line?
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- Winter '17
- Health Insurance Portability and Accountability Act