A patient calls to schedule an MRI of her foot. What should the scheduler first confirm before continuing the scheduling process? Select all that apply.

An MRI cost the facility a total of $1,000. We have a contract with the patient's insurance to only allow $800 for the services. The patient has a coinsurance of 20% and a $1,500 deductible that has been met in full. What is the patient's responsibility?

What is some of the information that can be viewed in a physician's office notes? Select all that apply.

True or False? If a physician's office is responsible for obtaining an auth but there isn't one on file, the Authorization Specialist will notate the account as "No Auth on File".

Which team in the Middle Cycle ensures the information within a patient's medical record is safe, secure, up to standards, coded properly and only shared within HIPAA guidelines?

Which of the following does the discharge disposition ensure is accurate? Select all that apply.

Jane arrives at the facility 30 minutes early. She is called to the registration desk to get checked in for her appointment. She is asked to provide her driver's license and insurance cards before she is seen. Which department is Jane in at the moment?

Now that Jane has been discharged and is comfortably at home, the nurses and clinical staff are making sure her account accurately reflects the services provided to her. This function is completed by which department?

Jane received a letter in the mail stating her claim was denied by her insurance company because the claim did not contain the appropriate coding. Which department is responsible for correcting this error and ensuring Jane's claim is accurate?

Which of the following is the HIM team responsible for? Select all that apply.

Which of these are categories within a Uniform Bill? Select all that apply.

The DRG code determines the payment rate based on the patient's __________. Select all that apply.

This team manages claims that the payor has paid and then denied.

Which of the following is the responsibility of the Retractions Team? Select all that apply.

True or False? The Unbilled Team works with the facilities to make charge and coding edits to a claim after the in-audit phase has been completed.

True or False? When contacting a payer, the Follow-up Specialist may discover that information pertaining to the patient's insurance is incorrect and will send it back to billing so they can take the appropriate action to correct the information and rebill the claim.

Which of the following is not a common resolution for the Follow-up Teams?

For each insurance we bill, there is an assigned ______ that is responsible for continued follow-up.

If a poster is working with a Legacy facility and the posting is manual, from where will the poster access the batches?

If a poster is working with a CHS-14 facility, from where are the manual postings accessed?

True or False? If the commercial credit is under $250, the Credit Specialist will leave the claim in the payers F/C and allow the payer time to issue a recoup or refund request letter.

Which of the listed areas make up the Customer Service Department? Select all that apply.

Which of the following is included in the paperwork sent to the collection agency when a patient files for bankruptcy? Select all that apply.

Which of these are the responsibilities of Patient Access for scheduled appointments. Select all that apply.

True or False? The 72-hour In-Audit phase is done during the Middle Cycle but prior to discharge.

What percent of our SSC's claims are clean claims?

Which of these are teams within the Denials department? Select all that apply.

This team gathers documentation required by payers for the appeals process.

True or False? The Pre-pay team also handles retractions and determines if the payment should be refunded or if it can be offset.

This team is responsible for processing Inpatient and Outpatient claims.