AAHAM CRCS-P Study Guide Complete Questions & Answers

CRCS - ANSWER Certified Revenue Cycle Specialist AAHAM - ANSWER The American Association of Healthcare Administrative Management 1-Day Rule - ANSWER a requirement that all diagnostic or outpatient services furnished in connection with the principle admitting diagnosis within one day prior to the hospital admission are bundled with the inpatient services for Medicare billing. 3-Day Rule - ANSWER a requirement that all diagnostic or outpatient services furnished in connection with the principle admitting diagnosis within three days prior to the hospital admission are bundled with the inpatient services for Medicare billing. 5010A1 - ANSWER the American National Standards Institute transaction for a professional claim (the electronic equivalent of the CMS 15000), formerly the 837P 837I - ANSWER the American National Standards Institute transaction for an institutional claim; as a result of HIPAA, it is replacing the electronic UB-04. 837P - ANSWER a former American National Standards Institute transaction for a professional claim (the electronic equivalent of the CMS 15000