Free RHIA Exam Braindumps (page: 90)

Page 90 of 458

A company that contracts with the Centers for Medicare and Medicaid Services (CMS) to pay Medicaid claims is called a

  1. carrier.
  2. fiscal intermediary.
  3. fiscal agent.
  4. preferred provider.

Answer(s): C



The DNFB report includes all patients who have been discharged from the facility but for whom, for one reason or another, the billing process is not complete.

  1. diagnosis not finally balanced
  2. days not fiscally balanced
  3. dollars not fully billed
  4. discharged not final billed

Answer(s): D



The limiting charge is a percentage limit on fees specified by legislation that the nonparticipating physician may bill Medicare beneficiaries above the nonPAR fee schedule amount. The limiting charge is

  1. 10%
  2. 15%
  3. 20%
  4. 50%

Answer(s): B



The patient is financially liable for the coinsurance amount which is

  1. 80%.
  2. 100%.
  3. 20%.
  4. 15%.

Answer(s): C



Page 90 of 458



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Britt commented on March 19, 2019
I take it this weekend, feeling confident about using this as an extra study tool!
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