CMOM-Practice Management Institute Latest

CMOM-Practice Management Institute Latest Update - 120 Questions with 100% Verified Correct Answers Guaranteed A+ Verified by Professor "Quid Pro Quo" - CORRECT ANSWER: cases in which the employee is threatened or suffers job detriment or retaliation for refusing to concede to sexual demands.

Abuse - CORRECT ANSWER: describes practices that either directly or indirectly result in unnecessary costs to the Medicare Program. Acts committed knowingly, willfully and intentionally.ex. Charging in excess for services or supplies Providing medical unnecessary services

Accounts payable A/P - CORRECT ANSWER: bills that the practice owes to vendors

Accounts receivables A/R - CORRECT ANSWER: are the amounts owed to you by your

patients

Actual Status - CORRECT ANSWER: report indicating financial operations of the last reporting period that can be for a period of one, three, six or twelve months and can also be obtained from past reports.

Administrative Simplification - CORRECT ANSWER: Provisions of HIPPA mandate that the federal government adopt national standards for the electronic exchange, storage and handling of health care data between health care payers, plans and providers.

Anti-Discrimination Rules for the American Workplace - CORRECT ANSWER: law

requires employer to provide reasonbile accommodation to employee or job applicant with a disability.

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Authorization - CORRECT ANSWER: approval for services, including diagnostic

services and inpatient or outpatient treatment.

Automated Reviews RAC Audit - CORRECT ANSWER: when there is certainty that an

overpayment or underpayment exists, but there is no written policy, article or guideline.For example, duplicate claims or pricing mistakes.

Average Active Listener - CORRECT ANSWER: retainer only about 50% of a

conversation

Average Billing per Patient - CORRECT ANSWER: Total Billing per month or

year/Number of patients by month or year

Average Cost per Patient - CORRECT ANSWER: Total variable expenses per month or

year/Total patients by month or year

Average Net Charges per Patient - CORRECT ANSWER: Total net collection per month or year/Total number of patients by month or year

Breach - CORRECT ANSWER: unauthorized acquisition access, use or disclosure of

protected health information, ex. ALGH issue on breach where health info was spread with no consents from patients.

Budget - CORRECT ANSWER: assists the practice in measuring projected financial

goals with the actual financial performance

Budget information should be shared... - CORRECT ANSWER: with the staff so they

can participate in effective cost controls.

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Budget Planning - CORRECT ANSWER: for optimum results evaluate the past 3 years

of income and expense in order to prepare your projected budget. Hint*A good manager will plan a budget a year in advance.

Business Associates - CORRECT ANSWER: can be held directly accountable by

federal or state authority for failure to comply with HIPAA statutory or regulations. ex. IT techs, Janitors, Cleaning Services, Vendors, Collection agencies, Consultants and Billing Services.

Capitation - CORRECT ANSWER: known as per member per month. form of

reimbursement used most commonly by HMOs to compensate primary care physicians for their services.

Charge off - CORRECT ANSWER: accounts receivable that will likely remain

uncollectable and will be written off as collection or bad debt. (Appears as an expense to the practice income statement, thus reducing net income.

Claim filing questions to ask... - CORRECT ANSWER: -What are the time limits for claim submissions?-Can you track your charges and payments?-How long does it take to pay a "clean claim"

Collecting co-pay for divorced cases - CORRECT ANSWER: the adult seeking

treatment is responsible for the bill. The person bringing the child is still responsible to you for payment, the patient can bill their estranged, but not responsibility of the practice.

Common employee barriers to ICD-10 - CORRECT ANSWER: 1. Resistant to change

• Comfortable with old system
• Opt for retirement
• Need to spend money for learning new coding system
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