FILL-IN-THE-BLANK 6. Two factors that are considered in determining what accounts require follow-up areand the amount...

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FILL-IN-THE-BLANK 6. Two factors that are considered in determining what accounts require follow-up areand the amount of the outstanding claims. 7. Two formulas used to assess the efficiency of A/R management activity includeand 8. Common reasons why accounts may be in aninclude: insurance verification is pending, chargemaster data are inaccurate, and coding from the medical record is delayed because of incomplete documentation. 9. The and department is responsible for monitoring and follow-up on outstanding accounts. 10. The first thing hospital personnel should do to address a claim that has beenis to investigate to determine if the payers action is appropriate.

11.Areport that is a listing of outstanding accounts based on the age of an account. 12 Areport used to identify claims that are denied, rejected, or pended 13. The report that is used to identify outstanding accounts and payer-specific problems with outstanding claims by payer type. 14.A report used by hospital personnel to track accounts that have not been billed since the patient was discharged 15. A claim processed by the payer resulting in a determination that no payment will be made on the claim due to a technical error (missing or incorrect information) or because it was not completed in accordance with payer guidelines. 16. A claim that is placed on hold by the payer, pending receipt of additional information. 17. The term that refers to the number of days the account has been outstanding. 18. The lavthat defines the maximum period oftime that legal collection actions can be filed against a patient. 19. The law that outlines the period of time a patient has to notify the hospital of an error on his or her statement.

ANSWER OPTIONS: A. Rejected B. Fair Debt Collection Practice Act C. Financial class D. Aging E. Accounts receivable (A/R) F, Statute of limitations G. Unbilled accounts H. Fair Credit Billing Act I. Denials management J. Pended

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Answer 1

Answer #1

Ans.)

11. E (Accounts Receivable; Aging Report)

13. H (Fair credit billing act)

14. G (Unbilled accounts)

16. J (Pended)

18. G (Fair debt collection practices act)

19. B (Fair credit billing act )

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Answer 2

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FILL-IN-THE-BLANK 6. Two factors that are considered in determining what accounts require follow-up are , and...

Week S Assessrment Exercise This assessment revisits chapter 13. Complete the following T/F, fill-in-the-blank and...

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FILL-IN-THE-BLANK 6. Two factors that are considered in determining what accounts require follow-up areand the amount...