Question 1

Which of the following items are usually included on the CDM of the facility? (Select all that apply.)

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Question 2

What types of services are typically covered under the Medicaid Program?

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Question 3

What are the three types of CHAMPUS/TRICARE products available to military and their families?

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Question 4

Name several reimbursement methodologies utilized for facility reimbursement.

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Question 5

Define a managed care plan.

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Question 6

Name several types of Managed Care Plans.

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Question 7

What type of information is contained on the Remittance Advice or Explanation of Benefits?

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Question 8

Explain the difference between a denied claim and a rejected claim.

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Question 9

Explain the primary difference in DRG and APC reimbursement methodologies.

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Quiz 3: Hospital Billing Overview

Which of the following items are usually included on the CDM of the facility? (Select all that apply.)