Examen
THE BUSINESS OF MEDICINE QUESTIONS AND ANSWERS WITH SOLUTIONS 2024
- Grado
- Institución
THE BUSINESS OF MEDICINE QUESTIONS AND ANSWERS WITH SOLUTIONS 2024
[Mostrar más]Vista previa 2 fuera de 6 páginas
Vista previa 2 fuera de 6 páginas
Añadir al carrito
Añadir al carrito
Vendedor
Seguir
PASSINGPOINT
Vista previa del contenido
THE BUSINESS OF MEDICINEQUESTIONS AND ANSWERS WITH
SOLUTIONS 2024
What is coding? - ANSWER Process of translating written or dictated medical records into a series of
numeric or alpha-numeric codes.
What three things do separate code sets describe? - ANSWER Diagnoses, medical and surgical
services/procedures and supplies
Codes sets serve as a common language for doing what three things? - ANSWER data
collection(ie.tracking disease), evaluate the quality of care and to determine costs and reimbursements
What is another name for a mid-level provider? - ANSWER Physician extenders
What are two examples of physician extenders? - ANSWER Physician assistants or PA and nurse
practitioners or NP
What are the two primary types of insurers? - ANSWER Private insurance plans and government
insurance plans
Who administers Medicare? - ANSWER Centers for Medicare and Medicaid Services or CMS
Name the three groups that Medicare covers? - ANSWER People over 65, blind or disabled individuals
and people with permanent kidney failure or end stage renal disease (ESRD)
How many parts does Medicare have? - ANSWER Four, A, B, C, D
Explain Medicare Part A? - ANSWER Covers inpatient hospital care, including skilled nursing facilities,
hospice care and home health care
, Medicare Part B? - ANSWER Covers medically necessary physicians' services, outpatient care and other
medical services including some preventative services not covered under Part A. This is an optional
benefit where the patient must pay a premium and typically requires a deductible and co-insurance
Part C? - ANSWER Also called Medicare Advantage, combines Part A, Part B and sometimes Part D. The
plans are managed by private insurers approved by Medicare
Part D? - ANSWER Prescription drug coverage available to all Medicare beneficiaries. Private companies
approved by Medicare provide coverage.
Medicare uses RBRVS for payments for physicians services. What does RBRVS mean? - ANSWER Because
the rates are standardized, they use a resource-based relative value scale or (RBRVS)
Resources costs are divided into what three components? - ANSWER Physician work,practice expense
and professional liability insurance
What percent of the total relative values does the physician work component have? - ANSWER 52%,
which is measured by the time it takes to perform the service, technical/physical effort, mental effort
and judgement and stress due to potential risk to the patient
What percent does practice expense account for? - ANSWER 44%,these are resource-based and differ by
site of service as the expense of providing a service is different in a hospital than it is in a doctor's office
What percent does the professional liability insurance (PLI) component account for? - ANSWER 4% for
each service
When is the Physician Fee Schedule (PFS) published? - ANSWER annually
What does PE stand for? - ANSWER Physician Expense
What does MP stand for? - ANSWER Malpractice
Los beneficios de comprar resúmenes en Stuvia estan en línea:
Garantiza la calidad de los comentarios
Compradores de Stuvia evaluaron más de 700.000 resúmenes. Así estas seguro que compras los mejores documentos!
Compra fácil y rápido
Puedes pagar rápidamente y en una vez con iDeal, tarjeta de crédito o con tu crédito de Stuvia. Sin tener que hacerte miembro.
Enfócate en lo más importante
Tus compañeros escriben los resúmenes. Por eso tienes la seguridad que tienes un resumen actual y confiable. Así llegas a la conclusión rapidamente!
Preguntas frecuentes
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.
100% de satisfacción garantizada: ¿Cómo funciona?
Nuestra garantía de satisfacción le asegura que siempre encontrará un documento de estudio a tu medida. Tu rellenas un formulario y nuestro equipo de atención al cliente se encarga del resto.
Who am I buying this summary from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller PASSINGPOINT. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy this summary for $17.99. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
45,681 summaries were sold in the last 30 days
Founded in 2010, the go-to place to buy summaries for 14 years now