AAHAM CRCS Exam STUDY MANUAL CH 5 Credits and Collections 100% Accurate!!(COMPLETE FULL PACK SOLUTIONS!!!!)EXAM BUNDLE

Also known as the Kennedy kassenbaum bill - ANSWER HIPAA Providers that a reporter error must be corrected or explained within 2 billing cycles or 90 days - ANSWER Fair credit billing act Formerly known as HCFA - ANSWER CMS Also known as regulation Z - ANSWER Truth in lending act Was rec...

Charity Care - ANSWER service provided that is never expected to result in cash flow. Charity Care results from a provider's policy to provide healthcare services free of charge or at a reduced cost to individuals who meet certain financial criteria. Indigent - ANSWER an individual who has no me...

AABB - ANSWER American Association of Blood Banks; one of six CMS- approved accreditation organizations Abuse - ANSWER Improperly, and often unknowingly, violating regulations ALJ hearing - ANSWER The third level of Medicare appeal; the amount in controversy threshold for 2012 is $130 Ameri...

3-Day Rule - ANSWER 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 837I - ANSWER the American National Standards ...

The billing form for hospital claims - ANSWER UB04 (CMS 1450 & 8371) Lifetime reserve amounts are calculated based on a per day allowance at: - ANSWER 50% of the Medicare Part A deductible What is the coinsurance amount for days 1-20 for SNF care? - ANSWER $0.00 A clean claim is all of the ...

ABN - ANSWER Advanced Beneficiary Notice ACF - ANSWER Administration for Children and Families ADC - ANSWER Average Daily Census AFDC - ANSWER Aid to Families with Dependent Children AHRQ - ANSWER Agency for Healthcare research and Quality ALOS - ANSWER Average Length of Stay AOA -...

What are the Federal Agencies that are part of the U.S. Department of Health and Human Services (HHS)? - ANSWER Centers of Medicare & Medicaid Services (CMS) Office of Inspector General (OIG) What are the HHS Operating Divisions? - ANSWER National Institutes of Health (NIH) Food and Drug Admini...

1-day payment window rule - ANSWER a Medicare requirement similar to the day payment window rule that applies to inpatient poychiatric hosp tals, inpatient rehabilitation facilities, long term care facilities, and chil dren's and cancer hospital. 3-day payment window rule - ANSWER a Medicare req...

3-Day Rule - ANSWER Medicare regulation requiring that certain outpatient services within 72 hours of an inpatient admission must be included in the patient's inpatient claim and reimbursed under a DRG. 8371 - ANSWER HIPAA standard transaction used by hospitals to submit claims electronically. ...

A hospital inpatient admit through discharge claim would be what Type of Bill (TOB) on the UB-04? - ANSWER 111 True/False Average Daily Census is the average number of inpatients maintained in the hospital each day for a specific period of time. - ANSWER True Which type of claim requires HCPC...

Identify federal agencies playing a major role in healthcare - ANSWER Department of Health and Human Services (BHHS) and Centers for Medicare and Medicaid Services (CMS) General provisions of major federal regulations - ANSWER Patient rights, Affordable care, Anti-Fraud and abuse, Credit and Coll...

CMS - ANSWER Centers for Medicare and Medicaid Services - a division of HSS that administers the Medicare program, it also works with state governments to administer the Medicaid program, the Children's Health Insurance Program, and portability standards for health in general QIO - ANSWER Qualit...

Regulation Z (Truth in Lending) - ANSWER Deals with disclosure of info before credit is extended. This Truth in lending act require that APR & finance charges are clearly and conspicuously identified. What was CMS formerly known as? - ANSWER Health Care Financing Administration (HCFA) Fair Cre...