1) What 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 d) Crossover Claim 2) Peters knee surgery request is approved by the payer. Eventually, an authorization number is generated. Choose the receiver of the authorization number. a) Provider b) Member c) Both A and B d) None of the above 3) Advance Directives made in another state are valid if they are approved in the same state where is was originally formulated, and it doesnt conflict with local state law a) True b) False 4) True or False: Healthcare organizations that are participating in Medicare and have a dedicated emergency department (ED) are oligated to adhere to EMTALA guidelines? a) True b) False 5) Every state must cover certain health Medicaid Healthcare Services. What service is mandatory a) Physical and occupational therapy b) Dental services and dentures c) Mental Health Services d) Podiatry Services 6) What information should be included when documenting notes in a patient account? Select all that apply a) Pertinent Activity b) Personal Opinions c) Enough Information d) No extraneous information e) Next steps 7) Medicare requires that registrars go through MSP Questionnaire for every inpatient and outpatient encounter? a) True b) False

RCM CORE Day 2

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