- Study guides, Class notes & Summaries

AAHAM CRCS-I Exam Questions with Correct Solutions

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4 pages

Written in 2024/2025

Grade A+

Zanaya

AAHAM CRCS-I Exam Questions and Answers- Billing

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5 pages

Written in 2024/2025

Grade A+

Zanaya

AAHAM CRCS-1 Exam Questions and Answers

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25 pages

Written in 2024/2025

Grade A+

Zanaya

AAHAM CRCS Exam Questions and Correct Answers

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2 pages

Written in 2024/2025

Grade A+

Zanaya

AAHAM CRCS Exam STUDY QUESTIONS AND ANSWERS- CH 5 Credits and Collections

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7 pages

Written in 2024/2025

Grade A+

Zanaya

Aaham Crce 2024 Exam Study Guide Questions And Answers

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14 pages

Written in 2024/2025

Grade A+

Zanaya

AAHAM Certification Test Questions and Answers

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41 pages

Written in 2024/2025

Grade A+

Zanaya

A hospital inpatient admit through discharge claim would be what Type of Bill (TOB) on the UB-04? - ANSWER 111 True/False Average Daily Census is the average number of inpatients maintained in the hospital each day for a specific period of time. - ANSWER True Which type of claim requires HCPCS/CPT codes? - ANSWER Outpatient Claims Which of the following is not true of a CAH? -They must maintain no more than 25 inpatient beds that may be used for swing bed services

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11 pages

Written in 2023/2024

Grade A+

suedocs

3-Day Rule - ANSWER Medicare regulation requiring that certain outpatient services within 72 hours of an inpatient admission must be included in the patient's inpatient claim and reimbursed under a DRG. 8371 - ANSWER HIPAA standard transaction used by hospitals to submit claims electronically. 837P - ANSWER HIPAA standard transaction that replaces the 1500 and is required of almost all physicians. 838 - ANSWER quarterly Medicare Credit Balance Report 1450 - ANSWER CMS 1450 form; ano...

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18 pages

Written in 2023/2024

Grade A+

suedocs

1-day payment window rule - ANSWER a Medicare requirement similar to the day payment window rule that applies to inpatient poychiatric hosp tals, inpatient rehabilitation facilities, long term care facilities, and chil dren's and cancer hospital. 3-day payment window rule - ANSWER a Medicare requirement that all diagnostic and clinically related non-diagnostic outpatient services provided with in three days of an inpatient admission must combined the inpa- tient claim when they are provided ...

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11 pages

Written in 2023/2024

Grade A+

suedocs

What are the Federal Agencies that are part of the U.S. Department of Health and Human Services (HHS)? - ANSWER Centers of Medicare & Medicaid Services (CMS) Office of Inspector General (OIG) What are the HHS Operating Divisions? - ANSWER National Institutes of Health (NIH) Food and Drug Administration (FDA) Centers of Disease Control and Prevention (CDC) Agency for Toxic Substances and Disease Registry (ATSDR) Indian Health Service (HIS) Health Resources and Services Administration (SA...

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31 pages

Written in 2023/2024

Grade A+

suedocs

ABN - ANSWER Advanced Beneficiary Notice ACF - ANSWER Administration for Children and Families ADC - ANSWER Average Daily Census AFDC - ANSWER Aid to Families with Dependent Children AHRQ - ANSWER Agency for Healthcare research and Quality

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2 pages

Written in 2023/2024

Grade A+

suedocs

The billing form for hospital claims - ANSWER UB04 (CMS 1450 & 8371) Lifetime reserve amounts are calculated based on a per day allowance at: - ANSWER 50% of the Medicare Part A deductible What is the coinsurance amount for days 1-20 for SNF care? - ANSWER $0.00 A clean claim is all of the following except - ANSWER Needs investigation The UB04 code that identifies a specific accommodation, ancillary service

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2 pages

Written in 2023/2024

Grade A+

suedocs

3-Day Rule - ANSWER a requirement that all diagnostic or outpatient services furnished in connection with the principle admitting diagnosis within three days prior to the hospital admission are bundled with the inpatient services for Medicare billing 837I - ANSWER the American National Standards Institute transaction for an institutional claim; as a result of HIPAA, it is replacing the electronic UB-04. 837P - ANSWER a former American National Standards Institute transaction for a professi...

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31 pages

Written in 2023/2024

Grade A+

suedocs

AABB - ANSWER American Association of Blood Banks; one of six CMS- approved accreditation organizations Abuse - ANSWER Improperly, and often unknowingly, violating regulations ALJ hearing - ANSWER The third level of Medicare appeal; the amount in controversy threshold for 2012 is $130 American Association of Blood Banks - ANSWER AABB; one of six CMS - approved accreditation organizations. American Osteopathic Association - ANSWER AOA; one of six CMS - approved accreditation organizat...

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18 pages

Written in 2023/2024

Grade A+

suedocs

Also known as the Kennedy kassenbaum bill - ANSWER HIPAA Providers that a reporter error must be corrected or explained within 2 billing cycles or 90 days - ANSWER Fair credit billing act Formerly known as HCFA - ANSWER CMS Also known as regulation Z - ANSWER Truth in lending act Was recently amended to place additional requirements on CRA s - ANSWER Fair credit reporting act Established HSAs known as MSAs) - ANSWER HIPAA Prohibits harassment,abuse and use of false or misleadin...

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6 pages

Written in 2023/2024

Grade A+

suedocs

AAHAM CRCE 2024 EXAM STUDY GUIDE WITH COMPLETE SOLUTIONS 1-day payment window rule -Answer-a Medicare requirement similar to the day payment window rule that applies to inpatient poychiatric hosp tals, inpatient rehabilitation facilities, long term care facilities, and chil dren's and cancer hospital. 3-day payment window rule -Answer-a Medicare requirement that all diagnostic and clinically related non-diagnostic outpatient services provided with in three days of an inpatient admission ...

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15 pages

Written in 2023/2024

Grade A+

GraceAmelia

AAHAM - CCT EXAM 2024 QUESTIONS AND ANSWERS AABB -Answer-American Association of Blood Banks; one of six CMS- approved accreditation organizations Abuse -Answer-Improperly, and often unknowingly, violating regulations ALJ hearing -Answer-The third level of Medicare appeal; the amount in controversy threshold for 2012 is $130 American Association of Blood Banks -Answer-AABB; one of six CMS - approved accreditation organizations. American Osteopathic Association -Answer-AOA; one of six CMS...

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26 pages

Written in 2023/2024

Grade A+

GraceAmelia

AAHAM 2024 CRCS-P- Federal Regulations & Governing Bodies Exam The name and acronym for the government's largest grant making agency -Answer- Department of Health and Human Services (DHHS) Medicare is also known as Title *BLANK* of CMS -Answer-XVII (18) Medicaid is also known as Title *BLANK* of CMS -Answer-XIX (19) The program that reviews all quality of service complaints submitted by Medicare beneficiaries -Answer-Quality Improvement Organization (QIO) Agencies subject to the Freedom...

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5 pages

Written in 2023/2024

Grade A+

GraceAmelia

CRCS Correct Answer: Certified Revenue Cycle Specialist AAHAM Correct Answer: The American Association of Healthcare Administrative Management 1-Day Rule Correct Answer: a requirement that all diagnostic or outpatient services furnished in connection with the principle admitting diagnosis within one day prior to the hospital admission are bundled with the inpatient services for Medicare billing. 3-Day Rule Correct Answer: a requirement that all diagnostic or outpatient services furnis...

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63 pages

Written in 2023/2024

Grade A+

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