Exam (elaborations)
EXAM 1 MEDICAL CODING QUESTIONS AND ANSWERS WITH SOLUTIONS 2024
- Course
- Institution
EXAM 1 MEDICAL CODING QUESTIONS AND ANSWERS WITH SOLUTIONS 2024
[Show more]
Content preview
EXAM 1 MEDICAL CODING QUESTIONSAND ANSWERS WITH SOLUTIONS 2024
CMS - ANSWER Centers for Medicare and Medicaid Services
QIO - ANSWER Quality Improvement Organizations
RBRVS - ANSWER Resource Based Relative Value Scale
OBRA - ANSWER Omnibus Budget Reconciliation Act
MAAC - ANSWER Maximum Actual Allowable Charge
RVU - ANSWER Relative Value Unit
OIG - ANSWER Office of Inspector General
DHHS - ANSWER Department of Health and Human Services
In the role as a medical coder, it is your responsibility to ensure that you code ____________________
and completely to optimize reimbursement for services provided. - ANSWER Accurately
the _______ (two words) is a national dollar amount that is applied to all services paid on the basis of
the MFS - ANSWER Conversion Factor
The amount determined by multiplying the RVU weight by the geographic index and the conversion
factor is called the __________ __________ amount. - ANSWER Fee Schedule
For endoscopic procedures Medicare allows the full value of the highest valued endoscopy, plus the
difference between the next highest endoscopy and the ____________________ endoscopy. - ANSWER
Highest
, The provider or facility is ________ when the payment goes directly to the patient - ANSWER
nonparticipating
Under the RBRVS. The unit value is termed _______ Value Unit - ANSWER Relative
Select the three goals of the Physician Payment Reform - ANSWER -a redistribute physician payments
more equitably.
- Decrease Medical Expenditures
-Assure quality health care at a reasonable cost
Select three components of the Retaliative Value Unit - ANSWER -work
-malpractice
-overhead
three types of persons eligible for medicare - ANSWER - those with permanent kidney failure
-those 65 and over
-Those with disability benefits
The medicare program was established in - ANSWER 1965
Medicare Part A pays for - ANSWER hospital/facility care
Medicare Part B pays for - ANSWER physician services and durable medical equipment
Who handles the day-to-day operation of the Medicare program for the CMS? - ANSWER MACs
Medicare pays for what percentage of covered charges? - ANSWER 80%
Part B services are billed using - ANSWER ICD-10-CM, CPT, HCPCS
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller Performance. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $13.99. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
84146 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy study notes for 14 years now
