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What are collection agency fees based on? - 🧠 ANSWER ✔✔A percentage
of dollars collected
,Self-funded benefit plans may choose to coordinate benefits using the
gender rule or what other rule? - 🧠 ANSWER ✔✔Birthday
In what type of payment methodology is a lump sum or bundled payment
negotiated between the payer and some or all providers? - 🧠 ANSWER
✔✔Case rates
What customer service improvements might improve the patient accounts
department? - 🧠 ANSWER ✔✔Holding staff accountable for customer
service during performance reviews
What is an ABN (Advance Beneficiary Notice of Non-coverage) required to
do? - 🧠 ANSWER ✔✔Inform a Medicare beneficiary that Medicare may not
pay for the order or service
What type of account adjustment results from the patient's unwillingness to
pay for a self-pay balance? - 🧠 ANSWER ✔✔Bad debt adjustment
What is the initial hospice benefit? - 🧠 ANSWER ✔✔Two 90-day periods
and an unlimited number of subsequent periods
, When does a hospital add ambulance charges to the Medicare inpatient
claim? - 🧠 ANSWER ✔✔If the patient requires ambulance transportation to
a skilled nursing facility
How should a provider resolve a late-charge credit posted after an account
is billed? - 🧠 ANSWER ✔✔Post a late-charge adjustment to the account
an increase in the dollars aged greater than 90 days from date of service
indicate what about accounts - 🧠 ANSWER ✔✔They are not being
processed in a timely manner
What is an advantage of a preregistration program? - 🧠 ANSWER ✔✔It
reduces processing times at the time of service
What are the two statutory exclusions from hospice coverage? - 🧠
ANSWER ✔✔Medically unnecessary services and custodial care
What core financial activities are resolved within patient access? - 🧠
ANSWER ✔✔Scheduling, insurance verification, discharge processing, and
payment of point-of-service receipts
What statement applies to the scheduled outpatient? - 🧠 ANSWER ✔✔The
services do not involve an overnight stay
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