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medical necessity for the test What is the advantage of a pre-registration program - Correct answer-It reduces processing times at the time of service What date are required to establish a new MPI(... Master patient Index) entry - Correct answer-The responsible party's full legal name, date of birth, and social security number Which of the following statements is true about third-party payments? - Correct answerThe payments are received by the provider from the payer responsible for reimbursing the provider for the patient's covered services. Which provision protects the patient from medical expenses that exceed the pre-set level - Correct answer-stop loss what documentation must a primary care physician send to HMO patient to authorize a visit to a specialist for additional testing or care? - Correct answer-Referral Under EMTALA (Emergency Medical Treatment and Labor Act) regulations, the provider may not ask about a patient's insurance information if it would delay what? - Correct answer-Medical screening and stabilizing treatment Which of the following is a step in the discharge process? - Correct answer-Have a case management service complete the discharge plan The hospital has a APC based contract for the payment of outpatient services. Total anticipated charges for the visit are $2,380. The approved APC payment rate is $780. Where will the patients benefit package be applied? - Correct answer-To the approved APC payment rate A patient has met the $200 individual deductible and $900 of the $1000 co-insurance responsibility. The co-insurance rate is 20%. The estimated insurance plan responsibility is $1975.00. What amount of coinsurance is due from the patient? - Correct answer-$100.00 When is a patient considered to be medically indigent? - Correct answer-The patient's outstanding medical bills exceed a defined dollar amount or percentage of assets. What patient assets are considered in the financial assistance application? - Correct answer-Sources of readily available funds , vehicles, campers, boats and saving accounts If the patient cannot agree to payment arrangements, What is the next option? - Correct answer-Warn the patient that unpaid accounts are placed with collection agencies for further processing [Show More]

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