Aaham Crce 2024 Exam Study Guide
1-day payment window rule - ANSWER a Medicare requirement similar to the day payment window rule that applies to inpatient poychiatric hosp tals, inpatient rehabilitation facilities, long term care facilities, and chil dren's and cancer hospital. 3-day payment window rule - ANSWER a Medicare requirement that all diagnostic and clinically related non-diagnostic outpatient services provided with in three days of an inpatient admission must combined the inpa- tient claim when they are provided by an entity wholly owned or oper ated by the inpatient hospital (or by another entity under arrangements with the admitting hospital). 8371 - ANSWER the dataset that is utilized to electronically submit hospital claims to the payer. 837P - ANSWER the HIPAA standard transaction that replaces the CMS-1500 and is required of almost all physicians. 838 report - ANSWER a mandatory quarterly credit balance report used to monitor identification and recovery of credit balances owed to Medicare. Advance Beneficiary Notice ABN - ANSWER Document
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