RHIT CERTIFICATION PREP LATEST UPDATED
A financial management list that includes services such as accommodations, room use, supplies, ancillary services, and clinical services is called: a. Charge description master b. Coordination of Benefits c. Service invoice d. Charge capture - ANSWER-Answer: a. Charge description master (CDM), sometimes called charge master, is a financial management list that contains information about the charges for healthcare services provided to the patient in the organization. A CDM is a list of every service and supply the facility provides. As the patient is seen in the facility, the charges are captured either electronically or manually for services and supplies What is the term used for a reduction program established by the Affordable Care Act that is used in hospital ranking and in which hospitals are required to report? a. Hospital incident conditions b. Hospital acquired conditions c. Hospital injury conditions b. Readmission conditions - ANSWER-Answer: b. Hospital acquired conditions (HAC) reduction program was established by ACA to encourage hospitals to reduce HACs. An HAC is a reasonably preventable condition that the patient did not have upon admission to the hospital, but developed during the hospital stay. A 45-year-old patient with a history of diabetes visits his physician's office every three months. This patient is insured with a Reliable Health Insurance Plan through his employer with an annual deductible cost of $2500 and coinsurance cost of 20%. The patient paid $30 for this office visit. What is the term for the $30 payment called? a. out of pocket b. service payment c. copayment (co-pay) d. coinsurance - ANSWER-Answer: c. Copayment (co-pay) is a cost sharing measure in which the policyholder pays a fixed dollar amount (flat fee) per service. A patient received a knee x-ray for a displaced knee injury. His healthcare plan paid the facility a lump sum payment for radiologist and radiology department use and x-ray equipment. This is an example of what type of reimbursement methodology? a. PPS b. IPPS c. Global payment d. EOC - ANSWER-Answer: c. Global payment reimbursement methodology involves payment that combines the professional and technical components of a procedure and disperses payments as a lump sum to be split between the physician and the healthcare facility.
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