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Which is a characteristic of the "old" RCM approach? Silo mentality When revenue cycle analysts examine MS-DRG relationships reporting they examine MS-DRG families for differences in_________ reporting? Complication/comorbidity In a typical acute-care setting, patient education of payment policies is located in which revenue cycle area? Pre-claims submission Which of the following is not a benefit of an integrated revenue cycle? Separation of physician practices In a typical acute-care setting, the explanation of benefits, Medicare summary notice, and remittance advice documents (provided by the payer) are monitored in which revenue cycle area? Claims reconciliation/collections Which type of compliance guidance is used by Medicare to communicate policies and procedures for the specific prospective payment systems manuals? Medicare Claims Processing Manual Which entity is responsible for processing Part A claims and hospital-based Part B claims for institutional services on behalf of Medicare? Medicare Administrative Contractor Which type of compliance is used by Medicare to describe the circumstances under which specific medical supplies, services or procedures are covered nationwide by Medicare? National Coverage Determinations Which of the following is not a use of the CDM? Coder productivity Which of the following is not a function area of the revenue cycle? Cafeteria The dollar amount the facility actually bills for the services it provides is known as? Charge Which of the following CDM data element is nationally recognized? Revenue code In a typical acute-care setting, charge entry is located in which revenue cycle area? Claims processing Which of the following is not used to reconcile accounts in the patient accounting department? Medicare code editor In a typical acute-care setting, which revenue cycle area uses an internal auditing system (scrubber) to ensure that error free claims (clean claims) are submitted to third-party payers? Claims processing Scrubbers are used by hospitals to identify which of the following errors that can cause claims rejection or denials? All of the above All of the following elements are found in a charge description master, except? ICD-10-CM code Most facilities begin counting days in accounts receivable at which of the following times? The date the bill drops Which of the following compliance documents services as day-to-day operating instructions for administering CMS programs? CMS program transmittals There are nationally recognized rules regarding the use of charge descriptions for CPT codes in the CDM? False Principles of Healthcare Reimbursement:Instructor’s ManualChapter 96.True or false? In regard to accounts receivable management, the older the account orthe longer the account remains unpaid, the less of a change that the facility willreceive reimbursement for the encounter. Get answer to your question and much more 7.Most facilities begin counting days in accounts receivable at which of the followingtimes? Get answer to your question and much more 8.The amount of money owed a healthcare facility when claims are pending is called: Get answer to your question and much more 9.The dollar amount the facility actually bills for the services it provides is known as:a. Costb. Chargec. Reimbursementd. Contractual allowance 10. The difference between what is charged and what is paid is known as: Get answer to your question and much more 11. What is the name of the notice sent after the provider files a claim that detailsamounts billed by the provider, amounts approved by the payer, how much the payerpaid, and what the patient must pay? Get answer to your question and much more
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