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1 of 79
Term
The ED is creating a paper form for staff to request charge
corrections. The form contains the patient's medical record number, billing
and posting date of the correction. What essential data is
missing from this form?
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Patient Account # Timely Filing deadlines
, Social security number and date of
birth Admission date
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2 of 79
Term
Claim edits help to identify errors that will cause a claim to
be rejected if not addressed. An example of an error that can
be identified is _.
Incorrect admission date
Incorrect gender on an appendectomy case
Mutually exclusive CPT/HCPCS codes and medically unlikely
quantities
Incorrect discharge disposition
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Establish a robust and
Bring in a consultant coder to
comprehensive compliance
reduce the backlog
program
Mutually exclusive
CPT/HCPCS codes and The payer remitted more than
medically unlikely the PFS system has recorded to be
quantities due
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3 of 79
Term
The two most definitive data elements to match when
evaluating duplicate medical records are _.
Name and date of birth
Name and address
Social security number and date of birth
Social security number and name
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Training, Patient Satisfaction,
The receipt of cash from a donor Coverage
Decrease accounts payable, Social security number and
decrease cash date of birth
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4 of 79
, Term
Which is an example of a practice that will most likely result in late
charges?
Laboratory result charges post on the day after the order is resulted.
Radiology always posts their charges immediately after the
procedure is completed.
Due to low volume, radiation oncology collects their charges and
posts once a week.
Patient access staff are notified when an ED patient is admitted.
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Mutually exclusive Due to low volume, radiation
CPT/HCPCS codes and oncology collects their
medically unlikely quantities charges and posts once a
week.
Sent to a lockbox and an 835 file
transmitted to the clearinghouse, The higher the percentage of clean
which posts the payment to claims, the faster cash is received
the patients' accounts to cover expenses
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5 of 79
Term