CPB Billing Regulations Exam Study Guide Solutions
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Course
CPB
Institution
CPB
CPB Billing Regulations Exam Study
Guide Solutions
Medically Unlikely Edits (MUEs) - ANSWER-number of units that can be reported for a service or
procedure on the same day
Medicare and Medicaid - ANSWER-Medicare pays first, and Medicaid pays last.
Medicare and TRICARE - ANSWER-TRICARE is secon...
incident-to - ANSWER✔✔-submit claim under the supervising physician
"those services that are furnished incident-to physician professional services in the physician's office
(whether located in a separate office suite or within an institution) or in a patient's home"
global package for surgical procedures - ANSWER✔✔-0-90 days as determined by the health plan:
Local infiltration, digital block, or topical anesthesia;
Writing Orders;
treatment in operation room;
postoperative follow-up care
global days - ANSWER✔✔-major surgeries - 90 days,
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