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CDEO Chapter 7 Questions with Correct Answers.
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CDEO Chapter 7 Questions with Correct Answers.
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CDEO Chapter 7 Questions with Correct AnswersRBRVS Correct Answer-Resource-Based Relative Value Scale
RBRVS System Correct Answer-Established by Medicare to reimburse
physicians based on CPT code submitted for reimbursement
RVU Correct 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
RVU Components Correct 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
Using RBRVS Correct Answer-CMS annually publishes Physician Fee
Schedule information on its website and posts the formula for
calculating physician fee schedule amounts.
Physician Fee Amounts Correct Answer-vary depending on facility vs
non-facility
,Facility Practice RVU Correct Answer-expenses include services
performed in emergency rooms , hospitals, SNFs, nursing homes, ASC.
Non Facility RVUs Correct Answer-include services performed in non-
hospital owned physician practices and privately owned practices.
GPCI Correct Answer-Geographic Practice Cost Index
Geographic Prctice Cost Index Correct Answer-is used to realize the
varying cost based on geographic location
CF Correct Answer-Converstion Factor
Conversion Factor Correct Answer-this is a fixed dollar amount used to
translate the RVUs into fees
Other Health Plans Correct Answer-other than Medicare may choose not
to use the CMS calculations to determine provider reimbursement
Global Surgery Package Correct 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.
, CPT Surgery Package Description Correct 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
* Immediate Post-Operative Care, including dictation of operative notes,
talking with family and other physicians
* Writing Orders
* Evaluation of patient post-anesthesia recovery
* Normal, uncomplicated follow-up care
Minor Surgical Procedures Correct Answer-defined by Medicare as a
service that has 0-10 day postoperative period.
Payment for minor procedures includes same-day services or
postoperative care, intraoperative care, and care within the global period.
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