COMPREHENSIVE TEST- PRINCIPALS OF HEALTHCARE REIMBURSEMENT AND REVENUE CYCLE MANAGEMENT REVIEW UPDATED EXAM QUESTIONS AND CORRECT ANSWER S

COMPREHENSIVE TEST- PRINCIPALS OF HEALTHCARE REIMBURSEMENT AND REVENUE CYCLE MANAGEMENT REVIEW UPDATED EXAM QUESTIONS AND CORRECT ANSWER S
Aisha works for Memorial Hospital as an inpatient coder. She
primarily codes cardiac and cardiothoracic surgery admissions.
Which code set does she use to report diagnosis codes?
The correct Answer is ICD-10-CM.
All of the following activities are steps in medical necessity and
utilization review except:
The correct Answer is Administrative review.
All of the following are true of state Medicaid programs except:
The correct Answer is Services offered to beneficiaries are the
same in each state.
All of the following functions are ways that MCOs work toward
their goal of controlling cost except:
The correct Answer is Use of evidence-based clinical practice
guidelines.
All of the following types of procedures and services typically
require prior authorization except:
The correct Answer is Emergency services for suspected stroke.
The allowable charge is comprised of two parts: the
____________ and the cost sharing amount.

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