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AAPC CPB - Chapter 11 Review Questions and Answers

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AAPC CPB - Chapter 11 Review Questions and Answers Medicare's payment amount for services are determined by which of the following formulas? a. Sustainable growth rate (SGR) X Geographic Practice Cost Index (GPCI) = Medicare payment b. Total RVU X Conversion factor = Medicare payment c. Tota...

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  • August 29, 2024
  • 11
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
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AAPC CPB - Chapter 11 Review
Questions and Answers

Medicare's payment amount for services are determined by which of the
following formulas?



a. Sustainable growth rate (SGR) X Geographic Practice Cost Index (GPCI)
= Medicare payment

b. Total RVU X Conversion factor = Medicare payment

c. Total Practice Expense (PE) X Conversion factor = Medicare payment

d. Total Malpractice insurance (MP) X Conversion factor (CF) = Medicare
payment - Answer✔️✔️-b. Total RVU X Conversion factor = Medicare
payment

The total RVU is composed of which of the following components:



a. Conversion factor (CF), practice expense (PE), and malpractice insurance
(MP)

b. Physician work, practice expense (PE), and malpractice insurance (MP)




1

, ©SOPHIABENNET@2024-2025 Thursday, August 22, 2024 10:21 AM




Certified Professional Biller By: American Academy of Professional Coders(AAPC)


c. Sustainable growth rate (SGR), conversion factor (CF), and malpractice
insurance (MP)

d. Sustainable growth rate (SGR), practice expense (PE), and physician
work. - Answer✔️✔️-b. Physician work, practice expense (PE), and
malpractice insurance (MP)

Medicare Supplement Insurance policies or Medigap is sold by:



a. Medicare

b. Medicaid

c. Private insurance companies

d. Healthcare providers - Answer✔️✔️-c. Private insurance companies

Medicare statutorily excluded services are:



a. Non-covered items and services

b. Not reimbursed by Medicare

c. Reimbursed on a case-by-case basis.

d. Both A & B - Answer✔️✔️-d. Both A & B




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