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AAHAM CRCS-P STUDY QUESTIONS 2025 |GUARANTEED ACCURATE ANSWERS

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CRCS - ACCURATE ANSWERS Certified Revenue Cycle Specialist AAHAM - ACCURATE ANSWERS The American Association of Healthcare Administrative Management 1-Day Rule - ACCURATE ANSWERS 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 - ACCURATE ANSWERS 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 - ACCURATE ANSWERS the American National Standards Institute transaction for a professional claim (the electronic equivalent of the CMS 15000), formerly the 837P 837I - ACCURATE ANSWERS the American National Standards Institute tr

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Voorbeeld van de inhoud

AAHAM CRCS-P STUDY
QUESTIONS 2025 |GUARANTEED
ACCURATE ANSWERS

CRCS - ACCURATE ANSWERS✔✔ Certified Revenue Cycle
Specialist


AAHAM - ACCURATE ANSWERS✔✔ The American Association of
Healthcare Administrative Management


1-Day Rule - ACCURATE ANSWERS✔✔ 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 - ACCURATE ANSWERS✔✔ 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 - ACCURATE ANSWERS✔✔ the American National
Standards Institute transaction for a

,professional claim (the electronic equivalent of the CMS 15000),
formerly the 837P


837I - ACCURATE ANSWERS✔✔ the American National Standards
Institute transaction for an
institutional claim; as a result of HIPAA, it is replacing the electronic
UB-04.


837P - ACCURATE ANSWERS✔✔ a former American National
Standards Institute transaction for a
professional claim (the electronic equivalent of the CMS 15000),
sincereplaced by the 5010A1.


ABN - ACCURATE ANSWERS✔✔ the Advance Beneficiary Notice of
Noncoverage; a form given to a Medicare beneficiary before services are
furnished when a service does not meet or is not expected to meet
medical necessity.


abuse - ACCURATE ANSWERS✔✔ the misuse of a person, substance,
service, or financial matter such that harm is caused; some forms of
healthcare abuse include excessive or unwarranted use of technology,
pharmaceuticals, and services; abuse of authority; and abuse of privacy,
confidentiality, or duty to care; it also includes improper billing practices
(like billing Medicare instead of primary insurer), increasing charges to
Medicare beneficiaries but not to other patients, unbundling of services,
and unnecessary transfers of

,patients.


Accounts Receivable (AR) Days Outstanding - ACCURATE
ANSWERS✔✔ an estimate, using average current revenues, of the days
required to turn over the accounts receivable under normal operating
conditions; in simple terms, this is an estimate of the time needed to
collect the accounts receivable.


ACF - ACCURATE ANSWERS✔✔ Administration for Children and
Families; one of the DHHS
Operating Divisions.


ACL - ACCURATE ANSWERS✔✔ Administration for Community
Living; one of the DHHS Operating
Divisions.


actual or expressed consent - ACCURATE ANSWERS✔✔ written or
oral agreement by the patient to
the treatment outlined.


acute inpatient - ACCURATE ANSWERS✔✔ a level of healthcare
delivered to patients experiencing
acute illness or trauma; it generally occurs in a hospital or emergency
room and is generally short-term care rather than long-term or chronic
care.

, ADC - ACCURATE ANSWERS✔✔ average daily census; the average
number of inpatients maintained in the hospital each day for a specific
period of time.


ADRR - ACCURATE ANSWERS✔✔ Average Days of Revenue in
Accounts Receivable; also known as Accounts Receivable (AR) Days
Outstanding; an estimate, using average current revenues, of the days
required to turn over the accounts receivable under normal operating
conditions; in simple terms, this is an estimate of the time needed to
collect the accounts receivable.


Advance Beneficiary Notice - ACCURATE ANSWERS✔✔ the
Advance Beneficiary Notice of Noncoverage; a form given to a
Medicare beneficiary before services are furnished when a service does
not meet or is not expected to meet medical necessity.


AFDC - ACCURATE ANSWERS✔✔ Aid to Families with Dependent
Children; a financial assistance
program provided by DHHS.


agents - ACCURATE ANSWERS✔✔ individuals who help consumers
and small businesses complete
the application process and enroll in healthcare coverage through the
Marketplace; they are able to make recommendations about coverage
and may only sell plans from specific health insurance companies.

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