Denials Study guides, Class notes & Summaries

Florida Claims Adjuster Exam, 6-20 All Lines Adjuster- Florida- Review Already Passed Peril Something that causes a loss. Hazard Something that increases the probability that a loss will occur. Warranty A policy condition, either based on information in the insureds application or inserted by the insurer. It is a guarantee of a fact. Misrepresentation An untrue statement by the insured, made in an application for insurance but which does not become a part of the policy. Concealment The fail...

What are the 3 things to advise person of constitutional rights? 1) Reading rights to person 2) Asking person if he/she understands rights 3) Explaining rights to person What are the steps to interview of a suspect? - Establish rapport - Listen - Take notes and clarify details - Evaluates body language - Process info to utilize in the interrogation approach and/or theme Brainpower Read More 0:02 / 0:15 How to conduct interrogation of a suspect? - Using i...

AAPC CPB - Chapter 13 Review Test Questions and Answers 2024. On 05/02/19, a claim for a fine needle aspiration biopsy with ultrasound guidance was reported with CPT code 10022, ICD-10-CM code D49.2 for DOS 05/01/2019. Why would the claim be denied? a. Not medically necessary b. Invalid CPT code for DOS c. Invalid ICD-10-CM code for DOS d. Timely filing - correct answer b. Invalid CPT code for DOS Response Feedback: Rationale: CPT™ code 10022 was deleted in 2019. CPT® codes should on...

AAPC CPB - Chapter 13 Review On 05/02/19, a claim for a fine needle aspiration biopsy with ultrasound guidance was reported with CPT code 10022, ICD-10-CM code D49.2 for DOS 05/01/2019. Why would the claim be denied? a. Not medically necessary b. Invalid CPT code for DOS c. Invalid ICD-10-CM code for DOS d. Timely filing - correct answer b. Invalid CPT code for DOS Response Feedback: Rationale: CPT™ code 10022 was deleted in 2019. CPT® codes should only be reported for dates of s...

What do Case Managers do? - correct answer Monitor high resource cases to ensure effective utilization What is HIM responsible for? - correct answer all pt medical records: transcribe, coding, release to biling, answer requests for documentation What is utilization management responsible for? - correct answer manage cases: services correct, on time What are the three types of utilization review? - correct answer Prospective, Concurrent, Retrospective Where can home health ser...

NHA CBCS Guide (2024/ 2025 Update) Exam | Questions and Verified Answers| 100% Correct| Grade A Q: What is the location method in reference to the CPT book? Answer: Procedure or service Just anatomic site Condition or disease Synonym, eponym, or abbreviation Q: What is the Stark Law? Answer: Prohibits a physician from referring patients for certain designated health services (Medicare & Medicaid) to entities with whom the physician has a financial relationship Q...

Practice for CPPM Exam Questions and Answers 100% Pass *Efficiency Process & doing things right *Effectiveness Outcomes & doing the right thing Accural Accounting Records revenues when they are earned & expenses when they have been accrued. Provides a more accurate reflection of your current financial situation Cash Based Accounting Recognizes revenue only when cash is collected & expenses when cash is paid. Provides a truer reflection of actual cash on hand & requires less reconciliation Ch...

AAPC CPB - Chapter 13 Review Test Questions and Answers 2024. On 05/02/19, a claim for a fine needle aspiration biopsy with ultrasound guidance was reported with CPT code 10022, ICD-10-CM code D49.2 for DOS 05/01/2019. Why would the claim be denied? a. Not medically necessary b. Invalid CPT code for DOS c. Invalid ICD-10-CM code for DOS d. Timely filing - correct answer b. Invalid CPT code for DOS Response Feedback: Rationale: CPT™ code 10022 was deleted in 2019. CPT® codes should on...

What are the 3 things to advise person of constitutional rights? - ️️1) Reading rights to person 2) Asking person if he/she understands rights 3) Explaining rights to person What are the steps to interview of a suspect? - ️️- Establish rapport - Listen - Take notes and clarify details - Evaluates body language - Process info to utilize in the interrogation approach and/or theme How to conduct interrogation of a suspect? - ️️- Using interrogation techniques ...

For children from birth through 1, there must be one staff for every _ children - ANSWER-4 For children 1 through 2, there must be one staff for every _ children - ANSWER-6 For children 2 through 3, there must be one staff for every _ children - ANSWER-11 For children 3 through 4, there must be one staff for every _ children - ANSWER-15 For children 4 through 5, there must be one staff for every _ children - ANSWER-20 For children 5+, there must be one staff for every _ children -...