Reimbursement and Personal Health Records 1. ____ is an…
Question Answered step-by-step Reimbursement and Personal Health Records 1. ____ is an… Reimbursement and Personal Health Records 1. ____ is an outcome-based payment method that’s accepted by most health plans, that provides financial incentives for meeting specific standards, and document them electronically. A. Revenue for reasonB. Pay for presentationC. Revenue for resultsD. Pay for performance 2. Which of following is not designated codes for diagnosis procedures, and ancillary services?A. CPTB. HCPCSC. ICD-10-CMD. MBTI 3. Amy has been billing doe Dr. Smith for several months. She noticed an increase in billing and reimbursement for in-office procedures, but Amy knows these procedures aren’t performed in the clinic. Amy should report Dr. Smith, as e is guilty of medicalA. ScamB. AbuseC. DeceptionD. Fraud 4. The patient portal allows 24/7 access for appointment request, provider communication , andA. Telephone encountersB. Request testingC. Request medication D. Prescription refills 5. Which of the following is not provider benefits from PHR?A. Receipt of payment B. Improve complianceC. Improve patient’s recall of medical historyD. Alternate means of communication 6. The evaluation and management CPT codes are based on three factors. Which of the following is not a factor?A. TimeB. Physical exam C. History D. Medical decision making 7. Unlike the PHR, the patient must follow____ guidelines.A. PHIB. AMAC. HIPPAD. NPP 8. The portion of the patient portal that allow the patient to load data is calledA. Patient-controlled health recordB. Personal information identificationC. Personal health recordD. Patient data 9. What’s the main difference between a PHR and an EHR?A. Documents that are included B. Who controls the data C. Electronic versus paper D. Advance directive 10. Sarah works in the billing department and notices several claims that haven’t been paid after 14 days. What’s Sarah’s next step?A. Generate a report B. Resubmit: it was probably denied C. Wait 21 days D. Contact the third-party payer 11. A PHR contains all of the following information exceptA. Emergency information B. Health logs C. Patient picture D. Family and social 12. Of it’s known that a service may not be covered, a ____ may be performed.A. Preconsent B. Preauthorization C. Preapproval D. Prepermission 13. A server that provides data transfer and storage space at a remote location is aA. Host B. USBC. Network D. Patient portal 14. Which of the following is an example oa an ICD-10-CM code?A. 11.0EJB. 252.0C. EJ1101.257D. E11.0 15. Once a claim form is submitted to a third-party payer, the claim is then assigned a status, represented by all of three following except,A. Approved B. Denied C. PaidD. Pending 16. Within SCMO, ____ software contains all of the coding information needed to correctly assign the diagnosis and procedural codes to a patient’s encounter.A. TruAssignB. CodeAssignC. EncoderPlusD. TruCode 17. The ____ starts with patient scheduling and continues through collection of payment for services rendered.A. Patient cycleB. Financial cycle C. Revenue cycleD. Payment cycle 18. Which of the following is not used to keep third-party costs down?A. Deductible B. Premium C. Copayment D. Coinsurance19. What makes the patient portal different from a PHR?A. Network securityB. Specialized software it’s provider-controlledC. It’s provider-controlledD. It’s patient portal different from a PHR? 20. Common coding variance include all of the following exceptA. CoderB. ComputerC. Provider D. Insurance Health Science Science Nursing COMMUNICAT 101 Share QuestionEmailCopy link Comments (0)
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