What are the departments that support and collaborates with the revenue cycle? - ANSWER-Information technology, finance, clinic services
Information
... [Show More] technology - ANSWER-enhance patient experience through efficient scheduling tracking and reporting
finance - ANSWER-provides analysis and reporting to ensure compleane
clinic services - ANSWER-prepare and serve the patient confirm accuracy of the patients information in a timely manner
What do business/organizational ethics represent? - ANSWER-principles & standards by which organizations operate
ethical behavior - ANSWER-the right thing to do not just what is required by law
Concept of ethical standards - ANSWER-actions that are hoped for & expected by individual & management within the healthcare
In Ethics it is important for staff and management - ANSWER-to uphold the business ethics and act as peer role model
ACO - ANSWER-Accountable Care Organization
defy Accountable Care Organization - ANSWER-Physicians, hospital and other healthcare providers coordinate the care of a patient population
What is the intend outcome of collaborations made through ACO? - ANSWER-appropriateness of care, no dup services, prevent medical errors for patient
ACA - ANSWER-Affordable Care Act
ACA was designed - ANSWER-reform healthcare system that rewards great value improves care and increases efficiency in the delivery of services
What is CMS target of moving Medicare payments - ANSWER-from volume based to value based payments
what is important to understand in moving from volume based to value based initiatives - ANSWER-QUALITY
reserve amounts on providers financial statements - ANSWER-contractual allowances, bad debits, charity care
How to report a provider's revenue accurately - ANSWER-calculate the difference between gross revenue and net revenue
how to determine net revenue - ANSWER-financial services estimate the dollar amount of contractual discount allowance with will be applied against those revenues
KPI - ANSWER-Key Performance Indicator
Key Performance Indicators - ANSWER-standards for account receivables A/R and provide a method of measuring the collection and control of AR
How are days in AR calculated - ANSWER-based on the value of the total accounts receivable on a specific date
When can AR day calculates can be done - ANSWER-for specific payers to evaluate the collection efficiency & payment progress on 3rd party payers or self pay patient
What can help identify issues & areas for improvement - ANSWER-completing an analysis of AR aging & KPIs
Gross revenue - ANSWER-the charges for all the services that a patient has received is totaled
patients that are considered to be scheduled - ANSWER-recurring series patients
category of patients depending on the type of care - ANSWER-scheduled, unscheduled and non acute type
scheduling of patients ensures - ANSWER-appropriate reimbursement significant resources, equipment and staff
local coverage determinations - ANSWER-guideline Medicare established to determine which DX signs or symptoms are payable
ABN - ANSWER-Advanced Beneficiary Notice
key patient info, patient identifiers - ANSWER-full legal name, DOB, sex, SSN
LCD - ANSWER-local coverage determinations
NCD - ANSWER-national coverage determinations [Show Less]