100% satisfaction guarantee Immediately available after payment Both online and in PDF No strings attached
logo-home
Step-By-Step Medical Coding Chapter 1: Reimbursement, HIPAA, and Compliance 105 Questions with 100% Correct Answers – COMPLETE SOLUTION $10.49   Add to cart

Exam (elaborations)

Step-By-Step Medical Coding Chapter 1: Reimbursement, HIPAA, and Compliance 105 Questions with 100% Correct Answers – COMPLETE SOLUTION

 11 views  0 purchase

What 2 groups of persons were added to those eligible for Medicare benefits after the initial establishment of the Medicare program? - 1. Persons eligible for disability benefits from Social Security 2. Persons with permanent kidney failure requiring dialysis or transplant To what government or...

[Show more]

Preview 2 out of 10  pages

  • September 4, 2022
  • 10
  • 2022/2023
  • Exam (elaborations)
  • Questions & answers
  • hipaa
All documents for this subject (5)
avatar-seller
AmazingGrace
Step -By-Step Medical Coding Chapter 1: Reimbursement, HIPAA, and Compliance 105 Questions with 100% Correct Answers – COMPLETE SOLUTION What 2 groups of persons were added to those eligible for Medicare benefits after the initial establishment of the Medicare program? - ✔✔1. Persons eligible for disability benefits from Social Security 2. Persons with permanent kidney failure requiring dia lysis or transplant To what government organization did the Secretary of the Department of Health and Human Services delegate the responsibility for administering the Medicare program? - ✔✔CMS (Centers for Medicare and Medicaid Services) What government organization handles the funds for the Medicare program? - ✔✔Social Security Administration There are 3 items Medicare beneficiaries are responsible for paying before Medicare will begin to pay for services. What are these 3 items? - ✔✔1. Deductibles 2. Premiums 3. Coinsurance Medicare publishes the Medicare fee schedule and usually pays what percentage of the amounts indicated for services? - ✔✔80% The 3 components of work, overhead (practice expense), and malpractice are part of an RVU. What do the ini tials RVU stand for? - ✔✔Relative Value Unit According to the filing guidelines, providers must file claims for their Medicare patients within ________ months of the date of service. - ✔✔12 What editions of the Federal Register would the outpatient facil ities be interested in? - ✔✔November and December Under what act was a major change in Medicare in 1989 made possible? - ✔✔OBRA Can a physician charge a patient to complete a Medicare form? - ✔✔No Individuals covered under Medicare are termed - ✔✔Benefi ciaries The ____________ ______________ ______________ do the paperwork for Medicare and are usually insurance companies that have bid for a contract with CMS to handle the Medicare program for a specific area. - ✔✔Medicare Administrative Contractors (MACs) Medic are Part C is also known as - ✔✔Medicare Advantage HIPAA stands for - ✔✔Health Insurance Portability Accountability Act The most major change to the health care industry as a result of HIPAA was a result of what portion of the act? - ✔✔Administrative Sim plification The transfer of electronic documentation is accomplished through the use of ______________ ____________ Interchange technology. - ✔✔Electronic Data The number that is assigned to all providers as a result of HIPAA is the - ✔✔National Provider Identification Under the Relative Value Unit system, _______ values are assigned to each service and are determined on the basis of the resources necessary to the physician's performance of the service. - ✔✔Unit The _________________ charge historically was specific for each physician, but in 1993, the charge for a service was the same for all physicians within a locality, regardless of the specialty. - ✔✔Limiting

The benefits of buying summaries with Stuvia:

Guaranteed quality through customer reviews

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

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

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 AmazingGrace. Stuvia facilitates payment to the seller.

Will I be stuck with a subscription?

No, you only buy these notes for $10.49. You're not tied to anything after your purchase.

Can Stuvia be trusted?

4.6 stars on Google & Trustpilot (+1000 reviews)

77254 documents were sold in the last 30 days

Founded in 2010, the go-to place to buy study notes for 14 years now

Start selling
$10.49
  • (0)
  Add to cart