CRCRExamPrep WhatdoCaseManagersdo?-ANSMonitorhighresourcecasesto ensureeffectiveutilization
WhatisHIMresponsiblefor?-ANSallptmedicalrecords:transcribe,
coding,releasetobiling,answerrequestsfordocumentation
Whatisutilizationmanagementresponsiblefor?-ANSmanagecases:
servicescorrect,ontime Whatarethethreetypesofutilizationreview?-ANSProspective, Concurrent,Retrospective Wherecanhomehealthservicesbeoffered?-ANSHome,AssistLiving,
neighbors:justnotSNFnorHospital
Toreceive-Carepayments,whatmustaSNFhavewhenreceivingaptfrom ahosp?-ANSAtransferagreementapprovedby-Care.Canahomehealthagencyemployanotheragencytoprovideservices?- ANSYes,solongasatleastoneemployeeoftheoriginalagencyprovides care.WhatistheNetCollectionRate?-ANShowmuchcashwascollectedasa %ofavailabletocollect?WhatistheNetCollectionRatebenchmark?-ANS95% Whatisthebenchmarkfordenials-ANS<2%onfirstsubmission Formualforcosttocollect-ANStotalPFSexpenses/grossptcare collections Whatisthebenchmarkforcosttocollect-ANS2.25% 1 / 2
What%oftheUB-04sourceofdataisfromptaccess?-ANS40% What%oftheUB-04sourceofdataisfromservicedepts?-ANS11% What%oftheUB-04sourceofdataisfromHIM?-ANS20% What%oftheUB-04sourceofdataisfrombilling?-ANS20% What%oftheUB-04sourceofdataisnotused?-ANS9% What%oftheCMS1500sourceofdataisfromptaccess?-ANS53% What%oftheCMS1500sourceofdataisfromservice?-ANS14% What%oftheCMS1500sourceofdataisfromHIM-ANS7% What%oftheCMS1500sourceofdataisfrombilling?-ANS26%
FromwhomistheUB-04directed?-ANSinstitutional:hospitals,SNF,
hospice
FromwhomistheCMS1500?-ANSnon-institutional:physicians,DME
IntheFDCA,whatisTitleI-ANSTruthinLendingAct WhatistheTruthinLendingAct-ANS5pointsmustbetriggered(such asinterestwillbecharged),thenmustdiscloseAPR,totalpayments,late paymentcharges,etc.WhatarethepenaltiesforviolatingtheFDCA?-ANScreditorscanbe sued WhoenforcestheFDCAforhospitals?-ANSFTC IntheFDCA,whatisTitleIII-ANSlimitsgarnishments
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