HITT 2335 Assignment 9 Exam Questions and Answers Fully Solved
Regulatory requirements and revisions regarding national and local coverage determinations (NCDs and
LCDs) can be found in all of the following documents except _____. - Answers Local managed care
contract language
When a payer rejects a claim for payment, organization staff must determine the reason for denial. If
the denial was deemed due to incorrect coding what process in the revenue cycle failed to operate as
intended? - Answers Middle Process
The goal for an efficient revenue cycle is to: - Answers eliminate any backlog of uncoded charts and to
complete the coding process within the time frame of the bill hold days that have been established for
the organization.
Which of the following is most applicable to describing utilization management functions? - Answers
Screens for the appropriate use of hospital services and resources
Which of the following statements are a most appropriate reflection about national and local coverage
determinations (NCDs and LCDs)? - Answers They define the specific diagnosis and procedure codes that
support medical necessity for many services provide.
Which of the following is true about the advance beneficiary notification of noncoverage? - Answers
May be issued when an inpatient service has been regarded non-covered due to medical necessity
The primary responsibility for charge capture is assigned to _____. - Answers Charging source systems
Which statement is false? - Answers Examples of equipment that can be separately billable include
cardiac monitors, blood pressure monitors, wall suction units, and intravenous pumps.
Which of the following assists with identifying issues involving data elements to ensure clean claims to
be submitted to the payers? - Answers Claim scrubber software or APC grouper.software.
Which department below is involved with the denial management team? - Answers all departments
above are involved with denial management team
When a payer rejects a claim for payment, organization staff must determine the reason for denial. If
the denial was deemed due to eligibility determination, what process in the revenue cycle failed to
operate as intended? - Answers Front-end process
Which of the following is not a part of the front-end revenue cycle processes? - Answers Case
management and identification of chargeable services
Regulatory requirements and revisions regarding national and local coverage determinations (NCDs and
LCDs) can be found in all of the following documents except _____. - Answers Local managed care
contract language
When a payer rejects a claim for payment, organization staff must determine the reason for denial. If
the denial was deemed due to incorrect coding what process in the revenue cycle failed to operate as
intended? - Answers Middle Process
The goal for an efficient revenue cycle is to: - Answers eliminate any backlog of uncoded charts and to
complete the coding process within the time frame of the bill hold days that have been established for
the organization.
Which of the following is most applicable to describing utilization management functions? - Answers
Screens for the appropriate use of hospital services and resources
Which of the following statements are a most appropriate reflection about national and local coverage
determinations (NCDs and LCDs)? - Answers They define the specific diagnosis and procedure codes that
support medical necessity for many services provide.
Which of the following is true about the advance beneficiary notification of noncoverage? - Answers
May be issued when an inpatient service has been regarded non-covered due to medical necessity
The primary responsibility for charge capture is assigned to _____. - Answers Charging source systems
Which statement is false? - Answers Examples of equipment that can be separately billable include
cardiac monitors, blood pressure monitors, wall suction units, and intravenous pumps.
Which of the following assists with identifying issues involving data elements to ensure clean claims to
be submitted to the payers? - Answers Claim scrubber software or APC grouper.software.
Which department below is involved with the denial management team? - Answers all departments
above are involved with denial management team
When a payer rejects a claim for payment, organization staff must determine the reason for denial. If
the denial was deemed due to eligibility determination, what process in the revenue cycle failed to
operate as intended? - Answers Front-end process
Which of the following is not a part of the front-end revenue cycle processes? - Answers Case
management and identification of chargeable services
