Critical Thinking Questions
Your CFO is not convinced that a clinical documentation improvement program will be worth the cost of development and implementation. What could you do to convince her otherwise?
It is January 10 and your coding manager has just brought you a list of accounts that cannot be finalized because the CPT codes attached to the charges are not valid. Your HIM systems were updated for the January 1 CPT code changes. What could be the problem and how will you fix it?
It is suggested in chapter 4 that back-end reporting should be reviewed in order to monitor compliance with specific billing rules. One such report is to monitor the CMS 3-day payment window. What data would you want to have on a report to monitor this rule and how often would you run it?
For the following questions, use the Costing Example Excel file provided in the online materials.
Use mappings to figure out cost-to-charge ratios for departments not yet calculated.
Apply relevant information to the trial balance to populate the cost centers, sub-account information, salary/other types, and cost center.
In the charge section, apply mappings for cost center departments to the CDM summary.
Aggregate costs and charges in the cost-to-charge ratio tab
An audit has uncovered mammography charges in an off-site clinic, but the costs for the mammography services are already allocated to the RAD-MAM department. The total charges for mammography in the clinic are $300,000. What is the new cost-to-charge ratio for mammography?
6. Due to competitive forces and favorable managed care contracting, management decides to restrike radiology charges such that the cost-to-charge ratio for each radiology department will be no less than 0.5000. What is the target for total charges for each category? If the change to charges is uniform, what is the factor to apply to each cost center’s charges (old price ? conversion factor = new price)?
Delivering a high-quality product at a reasonable price is not enough anymore.
That’s why we have developed 5 beneficial guarantees that will make your experience with our service enjoyable, easy, and safe.
You have to be 100% sure of the quality of your product to give a money-back guarantee. This describes us perfectly. Make sure that this guarantee is totally transparent.Read more
Each paper is composed from scratch, according to your instructions. It is then checked by our plagiarism-detection software. There is no gap where plagiarism could squeeze in.Read more
Thanks to our free revisions, there is no way for you to be unsatisfied. We will work on your paper until you are completely happy with the result.Read more
Your email is safe, as we store it according to international data protection rules. Your bank details are secure, as we use only reliable payment systems.Read more
By sending us your money, you buy the service we provide. Check out our terms and conditions if you prefer business talks to be laid out in official language.Read more