Question

1. The Minimum Data Set is used for which program?

2. The list of charges transferred to the patient accounting system and posted to the patient’s claim is done through the:

3. Who investigates issues of noncompliance in Medicare/Medicaid programs such as fraud and abuse?

4. Reimbursement in which payment rates are estimated in advance for a specified time period is:

Answer 1

1. The Minimum Data Set (MDS) is part of the federally mandated process for clinical assessment of all residents in Medicare and Medicaid certified nursing homes. This process provides a comprehensive assessment of each resident's functional capabilities and helps nursing home staff identify health problems.

2. The list of charges transferred to the patient accounting system and posted to the patients claim is done through the electronic remittance advice .

3. The Healthcare Fraud and Abuse Control Program under HIPAA ( Health insurance portability and accountability act ) investigates the issues of noncompliance in Medicare/Medicaid programs such as fraud and abuse.

4. Reimbursement in which payment rates are estimated in advance for a specified time period is 30 days