Denials Study guides, Class notes & Summaries

MCOLES Final Questions and Answers Rated A+ 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...

UST 2016 Exam Questions with Correct Answers The SAFE Act creates standard guidelines for state legislation to regulate loan originators. In order to meet the standards established under the SAFE Act, state licensing laws must include: - Answer-licensing requirements. effective supervision of those who are licensed. a program for enforcement of the law. Under SAFE Act standards, effective supervision by a state regulator includes: - Answer-participating in the NMLS; writing rules and ...

RHIT Domain 5 Questions Correctly Answered 2024.The overutilization or inappropriate utilization of services and misuse of resources, typically not a criminal or intentional act is called which of the following? a. Fraud b. Abuse c. Waste d. Audit - ANSWER c Waste is the overutilization or inappropriate utilization of services and misuse of resources, and typically is not a criminal or intentional act. Waste includes practice like over prescribing and ordering tests inappropriately (Foltz...

Final MCOLES EXAM 2023 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 ...

CPMA Chapter 1 Exam Prep With 100% Correct Answers 12.1% - Correct Answer-# of improper Medicare Fee-For-Service claim payments, according to Federal Government. FFS - Correct Answer-Fee-For-Service Prepayment Review - Correct Answer-Review of claims prior to payment. Prepayment reviews result in an initial determination. Postpayment Review - Correct Answer-Review of claims after payment. May result in either no change to the initial determination or a revised determination, indicatin...

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...

Which of the following is a true statement about technology? a. It has had little impact on healthcare and health information management. b. It has not improved the quality of care provided to patients. c. It provides the data needed to improve patient care and conduct research. d. It eliminated the need for evidence-based medicine. - C The HIM director accessed a vendor's _____ to determine if the supplies that she ordered had been shipped. a. Extranet b. Intranet c. Internet d. Fire...

B. If documentation supports the service, have the staff contact the carrier to reprocess the claims. Code 33010 was valid for the date of service billed. Rationale: The effective dates of codes are date of service driven. New CPT® codes become effective January 1st of every year. When auditing, verify codes based on the codes that were valid during the date of service. - Answer- In February 2020, an auditor is asked to review 10 records for date of service 12/1/2019 to make sure the claims we...

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 - 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 service for which the CPT code is valid. CP...

RHIT Domain 5. The overutilization or inappropriate utilization of services and misuse of resources, typically not a criminal or intentional act is called which of the following? a. Fraud b. Abuse c. Waste d. Audit - correct answer c Waste is the overutilization or inappropriate utilization of services and misuse of resources, and typically is not a criminal or intentional act. Waste includes practice like over prescribing and ordering tests inappropriately (Foltz et al. 2016, 448). E...