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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? - ANSWERMedically unnecessary services and custodial care
What core financial activities are resolved within patient access? - ANSWERScheduling, insurance verification, discharge processing, and payment of point-ofservice receipts
What statement applies to the scheduled outpatient? - ANSWER- The services do
not involve an overnight stay
How is a mis-posted contractual allowance resolved? - ANSWER- Comparing the
contract reimbursement rates with the contract on the admittance advice to identify
the correct amount
What type of patient status is used to evaluate the patient's need for inpatient care?
- ANSWER- Observation
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