NA - 701 Anesthesia Billing Actual Questions And Correct Verified Answers.
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Module
NA 701
Institution
NA 701
billing/coding - correct answer Billing Considerations:
-For specific billing and coding questions, consult a certified _____________________ expert.
CPT codes - correct answer These are called "Proced...
If billing Medicare and submitting performance data for quality reporting programs, it is essential to
___________, _______________, and _____________ your billing and practice information.
The National Practitioner Identifier (NPI) - correct answer Billing
Considerations:
____________________________ - is a unique identification number for covered health care providers.
CMS National Plan and Provider Enumeration System - correct answer Billing
Considerations:
Individuals or organizations apply for the NPIs through the
________________________________________ website.
Covered health care providers and all health plans and health care clearinghouses must use the _______
in the administrative and financial transactions adopted under ______________.
attorney - correct answer Billing Considerations:
For legal advice, consult an _______________ in your state.
Local Coverage Determinations (LCDs). - correct answer These are decisions
made by a Medicare Administrative Contractor (MAC) whether to cover a particular item or service in a
MAC's jurisdiction (region) in accordance with section 1862(a)(1)(A) of the Social Security Act.
MACs are Medicare contractors that develop this and process Medicare claims. The MAC's decision is
based on whether the service or item is considered reasonable and necessary.
Local Coverage Determinations (LCDs) - correct answer Billing Considerations:
What do you need to review to understand facility payer mix and payer guidelines for care delivery and
documentation.
Provider Enrollment Chain and Ownership System (PECOS) - correct answer
Medicare enrollment application via _______________________________ requires submission of
information such as:
-NPI
-Tax Identification Number (TIN)
-Professional information
-Provider specialty information
-Practice location.
CMS PECOS - correct answer Individuals or organizations enroll for
reimbursement for Medicare through the ___________________ website or forms.
Additional research is typically required for the specific ______________________ regarding payer
reimbursement rates and coverage policies.
Start Time - correct answer When the anesthesia practitioner begins to
physically prepare the patient for anesthesia services in the operating room or an equivalent area.
preanesthesia evaluation, - correct answer The start time does not include
time spent with the patient during __________________________________, as this is bundled into the
base unit.
IV, monitors, sedation, anesthesia - correct answer The start time does include
start of _______, placing _______________, administration of pre-anesthesia ______________, or
otherwise preparing the patient for ___________________.
base unit (procedural unit) - correct answer The time spend in the pre-
anesthesia evaluation is bundled into the what?
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