WITH QUESTIONS AND WELL
VERIFIED ANSWERS GRADED
A+!!LATEST EXAM
The first thing a health plan does when processing a claim is -
ANS✔✔--- Check if the patient is a health plan beneficiary and
what is the coverage
The most accurate way to validate patient information is to -
ANS✔✔--- require clinical staff to verify information at each
treatment encounter
All of the following are minimum requirements for new patients
with no MPI number EXCEPT - ANS✔✔---Address
A typical routine patient financial discussion would include -
ANS✔✔--- Explaining the benefits identified through verifying the
patients insurance
,Components of financial education include informing the patient
of the hospital's financial policies, assessing the patient's ability
to pay and - ANS✔✔---Reviewing payment alternatives with the
patient so appropriate resolution of the health care financial
obligation is achieved
HFMA best practices indicate that the technology evaluation is
conducted to - ANS✔✔---Continually align technology with
processes rather than technology dictating processes
Scheduler instructions are used to prompt the scheduler to -
ANS✔✔--- Complete the scheduling process correctly based on
service requested
, When billing Rural Health Clinic services on a UB-04/837-I,
specific CPT codes are collapsed into a single revenue code
(520 or 521). Although codes are collapsed into a single revenue
code, it is still important to list the appropriate CPT codes as part
- ANS✔✔---These codes will be used to determine medical
necessity and useful in determining what happened during the
encounter
What is likely to occur if credit balances are not identified
separately from debit balances in accounts receivable? -
ANS✔✔---The accounts receivable level would be understated
The process of verifying health insurance coverage, identifying
contract terms, and obtaining total charges is known as -
ANS✔✔---insurance verification and reimbursable charges
Unless the patient encounter is an emergency, it is more efficient
and effective to - ANS✔✔---Collect all information after the
patient has been discharged
Applying the contracted payment amount to the amount of total
charges yields - ANS✔✔---A pricing agreement
"Hard-coded" is the term used to refer to - ANS✔✔---Codes for
services, procedures, and drugs automatically assigned by the
charge master
The advantages to using a third-party collection agency include
all of the following EXCEPT - ANS✔✔---Providers pay pennies
on each dollar collected
Which of the following is usually covered on a Conditions of
Admission form - ANS✔✔---Release of information