Quiz Combo
Credit balances may be created by any of the following activities except:
(Pre-Test 4)
Credits to pharmacy charges posted before the claim final bills.
3 MULTIPLE CHOICE OPTIONS
Which of the following statements represent common reasons for inpatient claim denials?
(Pre-Test 4)
Failure to obtain a required pre-authorization; failure to complete a continued stay authorization
and services provided which were not medically necessary.
3 MULTIPLE CHOICE OPTIONS
6 Ways to Show Appreciation for Your Child's Teacher
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A 68-year-old patient, a Medicare beneficiary, was in a car accident. A medical insurance claim
was filed with the auto insurance carrier. Six months later this claim remains unpaid.
How can the provider pursue payment from Medicare?
(Pre-Test 4)
The provider must first bill the auto insurer; however, after a period of 120 days, if the claim
remains unpaid, the provider may cancel the liability claim and bill Medicare.
3 MULTIPLE CHOICE OPTIONS
The difference between bad debt and financial assistance (charity) is:
(Pre-Test 4)
, Bad debt represents a refusal to pay; charity represents an inability to pay.
3 MULTIPLE CHOICE OPTIONS
In order to qualify for financial assistance, a patient or guarantor should:
(Pre-Test 4)
Provide the following documents: prior year tax return, employment check stubs from the prior
three months and bank statements from the prior three months.
3 MULTIPLE CHOICE OPTIONS
To comply with the requirements of Section 501(r) for tax-exempt hospitals chartered as 510(c)3
providers, the hospital must complete with of the following activities:
(Pre-Test 4)
A community needs assessment.
3 MULTIPLE CHOICE OPTIONS
The three types of bankruptcy as defined in the 1979 Bankruptcy Act are:
(Pre-Test 4)
Chapter 7 - Straight Bankruptcy, Chapter 11 - Debtor Reorganization, and Chapter 13 - Debtor
Rehabilitation
3 MULTIPLE CHOICE OPTIONS
Which of the following medical debt collection practices are recommended as part of HFMA's
Best Practices for medical account resolution:
(Pre-Test 4)
Establish policies and ensure that they are followed.
3 MULTIPLE CHOICE OPTIONS
Organizations may opt to contract with or outsource to specific vendors for some or all
components of revenue cycle processing. This practice has both advantages and
disadvantages.