CCA EXAM PREP Domain # 2 Reimbursement methodologies (100% correct solved)

Code assignment correct answers 2nd step in reimbursement process Documentation - medical/ financial record correct answers 1st step in reimbursement process Claim preparation correct answers 3rd step in reimbursement process Claim to payer(s) correct answers 4th step in reimbursement process Claim review correct answers 5th step in reimbursement process Claim resolution correct answers 6th step in reimbursement process 1. Coding for physicians 2. Coding for facilities correct answers What are the 2 types of outpatient coding situations Demographic information correct answers What does medical biller use as foundation for determining who should receive bills and who has responsibility for payment? Front office during pre-regristration correct answers When is demographic information collected Charge Description Master correct answers CDM stands for Charge Description Master correct answers List of all supplies, services, equipment, usage fees for patient care Soft Coding correct answers Coders perform the coding on procedures that vary from patient to patient. Hard coding correct answers Done by CDM. Automatically assigns codes based on a unique identifier number of routine services Charge Master Contents correct answers - CPT/HCPCS procedure code - Charge descripition - Revenue Code - Charge - Department code - Charge Code - Charge Status Fee/ Charge correct answers Price established and assigned to a unit of medical/ other service in facility