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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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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