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rcm core > RCM Core Day 2 Review > Flashcards

RCM Core Day 2 Review Flashcards

1
Q

True or False: The MSPQ must be filled out for all Medicare and Medicaid patients.

A

False

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2
Q

Which of the following Medicaid services is a coverage requirement for every state?

A. Dental Services
B. Podiatry Services
C. Mental Health Services

A

C. Mental Health Services

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3
Q

What does COB stand for?

A

Coordination of Benefits

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4
Q

True or False: Authorizations for procedures are sent to both the member and the provider.

A

True

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5
Q

_______ is the process of determining which of two or more insurance policies will have the primary responsibility of processing/paying a claim and the extent to which the other policies will contribute.

A. Capitation
B. Authorization
C. Coordination of Benefits (COB)
D. Crossover claims

A
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6
Q

What does EMTALA stand for?

A. Emergency Medical Treatment and Logistics Agenda
B. Excellent Medical Treatment and Living Act
C. Emergency Medical Treatment and Labor Act

A
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7
Q

True or False: When documenting notes, it is recommended to add next steps and a personal opinion.

A

False

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8
Q

What does EOB stand for?

A

Explanation of Benefits

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rcm core (2 decks)

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