Chargemaster and APC Articles and Worksheet

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Need adequate chasten acceptance by 12 midnight 9/12/2015

Prior to starting this assignment be permanent to accept discover this module's assigned discovering. Choose the best acceptance to acceptance each of the forthcoming questions:

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1.APCs pretend all outresigned utilitys subordinate Medicare acquittal.A) True

B) False

2.One of the discriminating areas of organizational classifications involvement for APC victory is validation of mode excerption and acquittal axioms that pretend APC groups.A) True

B) False

3.When choiceing an APC Coordinator, it is expressive to choice someone after a while acquirements and expertise of billing classifications and clinical lines as well-mannered-mannered as the HIM line.A) True

B) False

4.One of the responsibilities for the APC coordinator would be to irritate notification progresss for the billing way.A) True

B) False

5.The APC team is best unembarrassed as a subcommittee of the quickness's medical chronicles committee.A) True

B) False

6.In assessing the income cycle, it is expressive to map the notification progress through the organization's automated notification classifications to aspermanent the alacrity of notification transmit.A) True

B) False

7.It is expressive to enact an in-depth re-examination of enjoinovercome point consequently 100% of score associated after a while ambulatory surgery are engenderd through the enjoinmaster.A) True

B) False

8.The APC Team should conceive representation from HIM, notification classifications, nursing in ambulatory surgery and assistant areas, resigned finance/resigned accounts, registration, and administration natant others.A) True

B) False

9.It is expressive to eliminate a classification wnear HCPCS modes must be matched to the mismisappropriate income modes consequently income modes solicit the packaging in the APC classification.A) True

B) False

10.The principal external of the APC classification is to administer costs for Medicare beneficiaries.A) True

B) False

11.Placement of the APC grouper in the organization's notification classification must be irritated consequently differently the DRG classification, the APC classification uses twain enjoinmaster-assigned and moder-assigned acts in the terminal grouping way.A) True

B) False

12.One of the steps in examining the instrumentation wayes is to re-examination the notification classifications that engender supported instrumentation for score conceived on the HCFA 1500.A) True

B) False

13.The enjoin overcome is besides known as a overcome enjoin roll or a enjoin style roll.A) True

B) False

14.The sundry food rolled on the enjoin overcome for the middle quickness solicits acquittal for almost 50% of the UB-92 claims for outresigned utilitys quaint.A) True

B) False

15.An inaccurate enjoin overcome may issue in overpayment, subordinatepayment, subordinatecharging, claims refusal, fines and/or penalties.A) True

B) False

16.Because the enjoin overcome is an automated way that issues in billing close utilitys for haughty tome resigneds, tnear is a facilitate that a individual coding or mapping deception could spawn manifold billing deceptions antecedently it is identified and chastened.A) True

B) False

17.One of the key elements of the enjoin overcome is the "Procedure Description" which has a set format and lexicon used by all facilities.A) True

B) False

18.One of the required fields in the enjoin overcome is the ICD-9 act mode.A) True

B) False

19.The "Revenue Code" is a two-digit mode estimate representing a inequitable favor, assistant utility, or billing vigilance required for Medicare billing.A) True

B) False

20.The "Charge Dollar Amount" is the inequitable whole the quickness obtain be reimbursed by a third-party payer.A) True

B) False

21.The enjoin overcome should be overseen by a committee moored of key quickness representatives that obtain co-operate to the achievement and nature of twain the instrument axiomsbase and the enjoin overcome re-examination way.A) True

B) False

22.All utilitys and acts rolled on the enjoin overcome obtain accept a CPT or HCPCS mode.A) True

B) False

23.The enjoin overcome committee should conceive representatives from heartiness notification skillful-treatment, assistant lines, the financial utility/business business-post and notification classifications.A) True

B) False

24.One of the responsibilities of the enjoin overcome committee is to re-examination CPT modes, act and utility styles, and income modes for achievement.A) True

B) False

25.Any contact that involves one enjoin style estimate "exploding" into past than one CPT/HCPCS mode should be re-examinationed to anticipate heedless unbundling or unearned acquittal.A) True

B) False


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