Third Party Payer Lock-in programs can use restrictions when their clients attempt to fill Controlled Substance prescriptions.
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Third Party Payer Lock-in programs can use restrictions when their clients attempt to fill Controlled Substance prescriptions.
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- Which of the following is an internal control activity that could prevent a paid disbursement voucher from being presented for payment a second time?a. Vouchers should be prepared by individuals who are responsible for signing disbursement checks.b. Disbursement vouchers should be approved by at least two responsible management officials.c. The date on a disbursement voucher should be within a few days of the date the voucher is presented for payment.d. The official who signs the check should compare the check with the voucher and should stamp “PAID” on the voucher documents.Which of the following control activities could prevent a paid disbursement voucher from being presented for payment a second time?a. Vouchers should be prepared by individuals who are responsible for signing disbursement checks.b. Disbursement vouchers should be approved by at least two responsible management officials.c. The date on a disbursement voucher should be within a few days of the date the voucher is presented for payment.d. The official signing the check should compare it with the voucher and should stamp “paid” on the voucher documents.How does the Health Insurance Portability and Accountability Act (HIPAA) facilitate electronic transactions?
- How can errors in a revenue cycle be prevented including patient registration, medical coding, claim follow-up, and due to inadequate staff training and external factors in a healthcare organizationWhen compleling an insurance application, a producer should A.complete as much of the applicalion as possible before meeting with he applicant to save time B.request hat the applicant review the completed application before signing it C.avoid asking the applicant questions on he application which may be embarrassing D.omit information from he application which may cause the application to be rejected by the insurance companyPlease summarize tthings that CPAs can do to limit their liability and prevent lawsuits.
- Shadyside Insurance Company manages a medical insurance program for its clients. Employees of client firms submit claims for reimbursement of medical expenses. Shadyside processes these claims, checks them to ensure that they are covered by the claimant’s policy, notes whether the claimant has reached any limit on coverage, computes any deductible, and issues a check for the claimant’s refund. Three types of clerks work in the claims processing department: supervisors, senior clerks, and junior clerks. The supervisors are paid $42,000 per year, the senior clerks are paid $37,000 per year, and the junior clerks are paid $32,000 per year. For every 150,000 claims processed per year, Shadyside plans to use one supervisor, six junior clerks, and two senior clerks. Last year, the company processed 2 million medical claims and employed 14 supervisors, 30 senior clerks, and 83 junior clerks. Required Compute the excess costs or cost savings relating to the claims processing staff. How would…Common coverage of HMOs include Annual Check-ups, confinements, laboratory fees, doctor's fees and dental care TRUE OR FALSEWhich of the following control procedures mitigates the threat of duplicate payments? Select one: a. When an invoice is paid, the invoice and the entire voucher package should be canceled (for example marked “paid”) in a way that it cannot be submitted again. b. When evaluated receipt settlement (invoice-less system) is used, receiving reports need not be marked as paid as no invoices are generated. c. Photocopied invoices can be paid. d. Invoices should be approved for payment only when accompanied by a valid purchase order.