HCIS 140 Week 5 Readings Quiz

A paper or electronic document that explains the amounts that were paid to the provider

The insurance bill is called a(n)

_ Standard includes authorization, supervision, workforce clearance procedures & termination

standardized codes for reporting medical services, procedures & treatments performed by doctors

The documentation standard includes which of the following implementation specifications?

A resource based relative value scale for each code is determined using?

JCAHO

Benefits of accreditation by the Joint Commission include:

healthcare coverage is provided by Medicare for use those?

All States require healthcare facilities to be?

A physician must renew an order for home health care every?

What is the title of this course

Initiative that integrates performance and outcome measures into the accreditation process is:

Putting charges and payments into the patient accounting system is called charging

The primary goal of the Security Rule is to protect the integrity of the ?

When a patient is admitted to a skilled nursing facility, the 1st assessment must be recorded:

Medicare and Medicaid are governed by the American Medical Association

which should bill using the ANSI-837 - P or CMS 1500 claim form?

The patient classification system groupings for long term care facilities are called?

For every claim that is filed, a provider will receive a(n):

A health insurance claim is an example of a(n):

The __ accredits medical laboratories

Healthcare facilities are required to report certain incidents such as?

PHI Refers to?

Is a fixed minimum that the patient must pay before a healthplan begins paying

All of the following transactions have been finalized EXCEPT

The HIPAA Security Rule Covers:

All of the following are categories of hospital acquired conditions EXCEPT

Payment may be denied by the payer because

All of the following statements are true of ICD-10 CM Except?

When the cost of treating a patient exceeds the payment Medicare will increase payment

An ICD-9 CM V code is used to code a(n):

People who are poor, blind, or pregnant may be eligible for help from Medicaid

__ agree not to collect more for a service than the amount allowed by the contract

The 14000 ICD9 codes are categorized by the DRG system into __ major diagnostic categories

Organizations providing behavioral health, Occupational and PT services is granted by?

A numerical value assigned to each DRG code is called the:

Which of the following organizations has the power to enforce HIPAA security standards?

An explanation of benefits (EOB) is also referred to as a(n):

All of the following are an unethical and/or illegal practice Except?