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Under APCs, payment status indicator ''S'' means
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Under APCs, payment status indicator ''T'' means
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Under APCs, payment status indicator ''C'' means
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In the managed care industry, there are specific reimbursement concepts, such as ''capitation.'' All of the following statements are true in regard to the concept of ''capitation,'' EXCEPT
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Once all data are posted to a patient's account, the claim can be reviewed for accuracy and completeness. Many facilities have internal auditing systems. The auditing systems run each claim through a set of edits specifically designed for the various third-party payers. The auditing system identifies data that have failed edits and flags the claim for correction. These ''internal'' auditing systems are called
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The term ''hard coding'' refers to
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The occurrence of an OCE (outpatient code editor) edit can result in one of __________ different dispositions, which help to ensure that the fiscal intermediaries in all parts of the country are following similar claims processing procedures. An example of one of these dispositions is ''claim rejection.''
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''Pill-rolling'' tremor is a characteristic symptom of
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Which would be the better "best practice" for handling fax transmission of a physician's orders?
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HEDIS gathers data in'the following area:
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