HITT 2335 Assignment 9 Exam With Complete
Solutions
Regulatory requirements and revisions regarding national and local coverage
determinations (NCDs and LCDs) can be found in all of the following documents except
_____. - ANSWER 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? - ANSWER Middle Process
The goal for an efficient revenue cycle is to: - ANSWER 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? - ANSWER 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)? - ANSWER 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? - ANSWER 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 _____. - ANSWER Charging
source systems
Which statement is false? - ANSWER Examples of equipment that can be separately
Solutions
Regulatory requirements and revisions regarding national and local coverage
determinations (NCDs and LCDs) can be found in all of the following documents except
_____. - ANSWER 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? - ANSWER Middle Process
The goal for an efficient revenue cycle is to: - ANSWER 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? - ANSWER 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)? - ANSWER 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? - ANSWER 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 _____. - ANSWER Charging
source systems
Which statement is false? - ANSWER Examples of equipment that can be separately
