In a retrospective environment, both the provider and payer worked after the fact, in that the provider would bill for all services rendered but not really know if all the work was covered; they would find this out when the payment came into the facility.
Correct Answer:
Verified
Q11: _ is "the evaluation of the medical
Q12: CMS requires that hospitals have the requirement
Q13: _ contains all necessary information that will
Q14: Payment posting is where the insurance company
Q15: Increasing the RCM performance will have a
Q17: In a prospective environment it is entirely
Q18: In the front-end section of the RCM
Q19: Only in an emergency, the financial counselors
Q20: The case manager looks to expedite all
Q21: Utilization management is sometimes called utilization review
Unlock this Answer For Free Now!
View this answer and more for free by performing one of the following actions
Scan the QR code to install the App and get 2 free unlocks
Unlock quizzes for free by uploading documents