Overall aggregate payments made to a hospice are subject to a computed "cap amount" calculated by
The Medicare Administrative Contractor (MAC) at the end of the hospice cap period
Which of the following is required for participation in Medicaid
Meet Income and Assets Requirements
In choosing a setting for patient financial discussions, organizations should first and foremost
Respect the patients privacy
A nightly room charge will be incorrect if the patient's
Transfer from ICU (intensive care unit) to the Medical/Surgical
floor is not reflected in the registration system
The Affordable Care Act legislated the development of Health Insurance Exchanges, where individuals and small
businesses can
Purchase qualified health benefit plans regardless of insured's
health status
,A portion of the accounts receivable inventory which has NOT qualified for billing includes:
Charitable pledges
What is required for the UB-04/837-I, used by Rural Health Clinics to generate payment from Medicare?
Revenue codes
This directive was developed to promote and ensure healthcare quality and value and also to protect consumers and
workers in the healthcare system. This directive is called
Patient bill of rights
The activity which results in the accurate recording of patient bed and level of care assessment, patient transfer and
patient discharge status on a real-time basis is known as
Case management
Which statement is an EMTALA (Emergency Medical Treatment and Active Labor Act) violation?
Registration staff may routinely contact managed are plans for prior authorizations before the patient is seen by the
on-duty physician
,HIPAA had adopted Employer Identification Numbers (EIN) to be used in standard transactions to identify the
employer of an individual described in a transaction EIN's are
assigned by
The Internal Revenue Service
Checks received through mail, cash received through mail, and lock box are all examples of
Control points for cash posting
What are some core elements if a board-approved financial assistance policy?
Eligibility, application process, and nonpayment collection activities
A recurring/series registration is characterized by
The creation of one registration record for multiple days of service
With the advent of the Affordable Care Act Health Insurance Marketplaces and the expansion of Medicaid in some
states, it is more important than ever for hospitals to
Assist patients in understanding their insurance coverage and their financial obligation
, The purpose of a financial report is to:
Present financial information to decision makers
Patient financial communications best practices produce communications that are
Consistent, clear and transparent
Medicare has established guidelines called the Local Coverage Determinations (LCD) and National Coverage
Determinations (NCD) that establish
What services or healthcare items are covered under Medicare
Any provider that has filed a timely cost report may appeal an adverse final decision received from the Medicare
Administrative Contractor (MAC). This appeal may be filed with
The Provider Reimbursement Review Board
Concurrent review and discharge planning
Occurs during service
The Medicare Administrative Contractor (MAC) at the end of the hospice cap period
Which of the following is required for participation in Medicaid
Meet Income and Assets Requirements
In choosing a setting for patient financial discussions, organizations should first and foremost
Respect the patients privacy
A nightly room charge will be incorrect if the patient's
Transfer from ICU (intensive care unit) to the Medical/Surgical
floor is not reflected in the registration system
The Affordable Care Act legislated the development of Health Insurance Exchanges, where individuals and small
businesses can
Purchase qualified health benefit plans regardless of insured's
health status
,A portion of the accounts receivable inventory which has NOT qualified for billing includes:
Charitable pledges
What is required for the UB-04/837-I, used by Rural Health Clinics to generate payment from Medicare?
Revenue codes
This directive was developed to promote and ensure healthcare quality and value and also to protect consumers and
workers in the healthcare system. This directive is called
Patient bill of rights
The activity which results in the accurate recording of patient bed and level of care assessment, patient transfer and
patient discharge status on a real-time basis is known as
Case management
Which statement is an EMTALA (Emergency Medical Treatment and Active Labor Act) violation?
Registration staff may routinely contact managed are plans for prior authorizations before the patient is seen by the
on-duty physician
,HIPAA had adopted Employer Identification Numbers (EIN) to be used in standard transactions to identify the
employer of an individual described in a transaction EIN's are
assigned by
The Internal Revenue Service
Checks received through mail, cash received through mail, and lock box are all examples of
Control points for cash posting
What are some core elements if a board-approved financial assistance policy?
Eligibility, application process, and nonpayment collection activities
A recurring/series registration is characterized by
The creation of one registration record for multiple days of service
With the advent of the Affordable Care Act Health Insurance Marketplaces and the expansion of Medicaid in some
states, it is more important than ever for hospitals to
Assist patients in understanding their insurance coverage and their financial obligation
, The purpose of a financial report is to:
Present financial information to decision makers
Patient financial communications best practices produce communications that are
Consistent, clear and transparent
Medicare has established guidelines called the Local Coverage Determinations (LCD) and National Coverage
Determinations (NCD) that establish
What services or healthcare items are covered under Medicare
Any provider that has filed a timely cost report may appeal an adverse final decision received from the Medicare
Administrative Contractor (MAC). This appeal may be filed with
The Provider Reimbursement Review Board
Concurrent review and discharge planning
Occurs during service
