When does a hospital add ambulance charges to the Medicare inpatient claim? -

ANSWER- If the patient requires ambulance transportation to a skilled nursing

facility

How should a provider resolve a late-charge credit posted after an account is

billed? - ANSWER- Post a late-charge adjustment to the account

an increase in the dollars aged greater than 90 days from date of service indicate

what about accounts - ANSWER- They are not being processed in a timely manner

What is an advantage of a preregistration program? - ANSWER- It reduces

processing times at the time of service

What are the two statutory exclusions from hospice coverage? - ANSWERMedically unnecessary services and custodial care

What core financial activities are resolved within patient access? - ANSWERScheduling, insurance verification, discharge processing, and payment of point-ofservice receipts

What statement applies to the scheduled outpatient? - ANSWER- The services do

not involve an overnight stay

How is a mis-posted contractual allowance resolved? - ANSWER- Comparing the

contract reimbursement rates with the contract on the admittance advice to identify

the correct amount

What type of patient status is used to evaluate the patient's need for inpatient care?

- ANSWER- Observation

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