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CDEO Chapter 7 Latest /Questions And Answers Graded (A+)
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CDEO Chapter 7 Latest 2023-2024 /Questions AndAnswers Graded (A+)
Quiz :RBRVS - √Answer :Resource-Based Relative Value Scale
Quiz :RBRVS System - √Answer :Established by Medicare to reimburse
physicians based on CPT code submitted for reimbursement
Quiz :RVU - √Answer :Each CPT code has an assigned relative value unit
which, when multiplied by conversion factor and a geographic region
allowance , creates the reimbursement for the medical service the CPT code
represents
Quiz :RVU Components - √Answer :1) Physician work- time, skill, training, and
intensity of service provided
2) Practice Expense - reflects the cost of ancillary personnel, supplies, and
overhead
3) Professional Liability Malpractice Insurance
, Quiz :Using RBRVS - √Answer :CMS annually publishes Physician Fee Schedule
information on its website and posts the formula for calculating physician fee
schedule amounts.
Quiz :Physician Fee Amounts - √Answer :vary depending on facility vs non-
facility
Quiz :Facility Practice RVU - √Answer :expenses include services performed in
emergency rooms , hospitals, SNFs, nursing homes, ASC.
Quiz :Non Facility RVUs - √Answer :include services performed in non-
hospital owned physician practices and privately owned practices.
Quiz :GPCI - √Answer :Geographic Practice Cost Index
Quiz :Geographic Prctice Cost Index - √Answer :is used to realize the varying
cost based on geographic location
Quiz :CF - √Answer :Converstion Factor
Quiz :Conversion Factor - √Answer :this is a fixed dollar amount used to
translate the RVUs into fees
Quiz :Other Health Plans - √Answer :other than Medicare may choose not to
use the CMS calculations to determine provider reimbursement
Quiz :Global Surgery Package - √Answer :The time, effort, and services
required to complete a procedure are bundled together to form a surgery
package . Payment is made for a package of services and not each individual
service provided within the package.
Quiz :CPT Surgery Package Description - √Answer :* Subsequent tot he
decision for surgery, E?M Services on the date immediately prior to or on the
date of the procedure including H&P
*Local Anesthesia: defined as local infiltration, metacarpal/metatarsal/digital
block, or topical anesthesia
* Operation Itself
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