and answers with accurate solutions /
latest version
The following will NOT prevent claim denials - CORRECT ANSWES -- Provide medical
documentation with an appeal letter to support the service rendered
Productivity Report - CORRECT ANSWES -- Details the volume of procedures being
performed by each provider
Denials Report & Denials Rate - CORRECT ANSWES -- Important to cash flow - use
weekly to identify denials. Should always stay below 5%
Denials Report & Denials Rate Formula - CORRECT ANSWES -- Total # of denials ./.
tot claims submitted
Adjustments to collection - CORRECT ANSWES -- Used for monitoring fluctuations in
adjustments
*Efficiency - CORRECT ANSWES -- Process & doing things right
*Effectiveness - CORRECT ANSWES -- Outcomes & doing the right thing
Accural Accounting - CORRECT ANSWES -- Records revenues when they are earned
& expenses when they have been accrued. Provides a more accurate reflection of your
current financial situation
Cash Based Accounting - CORRECT ANSWES -- Recognizes revenue only when cash
is collected & expenses when cash is paid. Provides a truer reflection of actual cash on
hand & requires less reconciliation
Chart of Accounts - CORRECT ANSWES -- Lists all potential accounts for all financial
information (income, expenses, assets, liabilities, equities
Income Statement - CORRECT ANSWES -- Records all revenues & expenses
associated with the business for a specified time. Summary of a company's profit or loss
during a given period
, Balance Sheet - CORRECT ANSWES -- Snapshot of buisness' financial condition at
specific time. Includes values for assets, liabilities & stockholders equity
Cash Flow Statement - CORRECT ANSWES -- Financial statement used to maintain
awareness of funds (cash available) to support ongoing business operations
Break Even Point - CORRECT ANSWES -- Point where revenues for services minus all
variable expenses = the fixed expenses & add'l revenue will start creating a profit for the
business
OSHA - CORRECT ANSWES -- *Procedures for reporting a file
* Evacuatin procedures during emergency
*fire extinguisher locations
* Emergency contacts & info
* Designated meeting location
* Staff assignments & responses
**Revenue Per Visit (RPV) Calculated - CORRECT ANSWES -- Review payor contracts
= Toal amount collected ./. total # pt visits
**Days in A/R formula - CORRECT ANSWES -- total A/R ./. (total charges ./. total days
in A/R
(i.e. $558039 ./. ($700,00 ./. 60)
Medical Necessity - CORRECT ANSWES -- Most important criteria for E&M
Days in A/R - CORRECT ANSWES -- How long it takes to collect a charge. Good is
less than 40 days
**Days in A/R forumula - CORRECT ANSWES -- Total A/R ./. Total charges ./. # of days
for charges
Assests = - CORRECT ANSWES -- liabilities & equity
Assests - CORRECT ANSWES -- If assests are higher than liabilites, that's a good thing
**Net Collection Rate - CORRECT ANSWES -- Total Receipts - Refunds ./. Total
Charges - Contractual Adj
Bad Deb Ratios - CORRECT ANSWES -- Total bad debt for period ./. total charges for
period
Denials Report & Denials Rate - CORRECT ANSWES -- Total # of denials ./. total
claims submitted