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WorksheetsHH Billing - DSL Sacramento
Total questions: 10
Worksheet time: 5mins
The Notice of Admission (NOA) must be submitted within what timeframe to avoid financial penalty?
Within 5 business days of the start of care
Immediately before billing the period of care claim
Within 5 calendar days of the start of care
There’s no specific timeframe to submit the NOA
What does the acronym PDGM stand for?
Payment Driven Grouping Model
Patient Decided Grouping Model
Patient Driven Groupings Model
Payment Domain Group Modeling
The NOA can be adjusted to fix errors.
True
False
The NOA needs to be submitted at the beginning of every 30-day period of care.
True
False
What requirement must be met prior to billing the NOA?
The physician’s verbal or written order containing services required for an initial visit have been received and documented
The HHA has conducted the initial visit
The patient has been admitted to home health care
All of the above
What code should an HHA use to open a new admission for a transferred patient?
Occurrence code 50
Condition code 47
Condition code 54
Value code 61
What are the appropriate bill types that can be submitted for the NOA?
Bill types 329 & 327
Bill types 322 & 320
Bill types 32A & 32D
Bill types 32A & 328
A home health agency is responsible for billing all services provided a patient, regardless of whether they were provided directly or under arrangements.
True
False
The home health PPS payment is based on:
The HIPPS code submitted on the claim
The data submitted on the NOA
The HIPPS code assigned by the claims processing system
None of the above
The certification and plan of care are based on 60 days and billing is done every 30 days.
True
False
