Practice expense rvu - Study guides, Class notes & Summaries
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Review for CPB Exam Questions & Answers 2023/2024
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Review for CPB Exam Questions & Answers 2023/2024 
 
 
To report co-management, Which below must be true? - ANSWER-A. Co-management only applies to doctors in the same clinic. 
B. Two physicians must be performing the surgical procedure. 
C. Two doctors must be managing the Post-op Care. 
D. Non of the answers are correct. 
Answer: D None of the answers are correct. The doctors must be in separate office/clinics. Co-management refers to another provider providing the post-operative care for a su...
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HADM 3351 Test 2 Latest Update Rated A+
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HADM 3351 Test 2 Latest Update Rated A+ What is Cash Basis It recognizes revenue when payment is received and records expenses when paid 
What is accrual basis Recognizes revenue when earned and records expenses when incurred 
Does sole proprietorship use accrual or modified cash basis? Modified cash basis 
what accounting structure does larger practices use? Accrual 
Which type of organizational structure is treated differently under the IRS tax code? Not-for-profit 
What is months revenue in a...
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AAPC CPB Ch 2 exam review Questions and answers, VERIFIED/ / 2024-25 Exam board exam predictions. APPROVED/
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AAPC CPB Ch 2 exam review Questions 
and answers, VERIFIED/ 
What components make up the Medicare Physician Fee Schedule? 
Relative value units for physician work, practice expense, and professional liability insurance; the 
Geographical Practice Cost Index; and the conversion factor. 
Medicare uses the Medicare Physician Fee Schedule (MPFS) for reimbursement for physician services 
and other types of services. This replaced the old "customary, prevailing, and reasonable" (CPR) 
payment sy...
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Review for CPB Exam Questions and answers, graded A+ / 2024-25 Exam board exam predictions. APPROVED/
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Review for CPB Exam Questions and 
answers, graded A+ 
To report co-management, Which below must be true? - -A. Co-management only applies to 
doctors in the same clinic. 
B. Two physicians must be performing the surgical procedure. 
C. Two doctors must be managing the Post-op Care. 
D. Non of the answers are correct. 
Answer: D None of the answers are correct. The doctors must be in separate office/clinics. Comanagement refers to another provider providing the post-operative care for a surgi...
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CSPR – Questions and Answers based on full course
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What Act shaped how commercial insurance carriers approached the concepts of paying for medical care? - ANSWER-HMO Act of 1973 
 
ACA - ANSWER-Affordable Care Act 
 
HMO (Health Maintenance Organization) - ANSWER-The organization is both the insurer and provider of a set of defined services. Patients within this network must use an in-network provider for their services to be covered. 
 
Capitation Payment - ANSWER-part of prospective payment in which healthcare providers receive fixed monthly p...
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HADM 3351 Test 2 Review (2023/2024) 100% Pass
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HADM 3351 Test 2 Review (2023/2024) 100% Pass RBRVS is made up of which 3 objectives? 1. Professional work 2. Practice expense 3. Malpractice 
Understanding Cash and accrual and who might use each one. - The cash basis recognizes revenue when payment is received and records expenses when paid, the cash basis standard most likely had its roots in small practices and sole proprietorship. - The accrual method recognizes revenue when earned and records expenses when incurred, the large number of med...
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MAP 114 FINAL EXAM | QUESTIONS & ANSWERS (VERIFIED) | LATEST UPDATE | GRADED A+
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DME refers to _______________ includes crutches and wheelchairs 
Correct Answer: durable medical equipment 
_____ was implemented to control cost of inpatient care and was implemented by CMS 
Correct Answer: PPS 
centers for medicare and medicaid services 
Correct Answer: CMS 
_________________ should consider all except billing the patient 
Correct Answer: insurance specialists 
When are hospitals to report actual charges for in-patient care to payers 
Correct Answer: after discharge 
_________...
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HADM 3351 Test #2 Review Study Guide 2024
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RBRVS is made up of which 3 objectives? - 1. Professional work 
2. Practice expense 
3. Malpractice 
 
Understanding Cash and accrual and who might use each one. - - The cash basis recognizes revenue when payment is received and records expenses when paid, the cash basis standard most likely had its roots in small practices and sole proprietorship. 
- The accrual method recognizes revenue when earned and records expenses when incurred, the large number of medical groups that have been by hospita...
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AAPC Official CPC Certification Study Guide With Complete Solution
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"hold harmless clause" - Answer * found in some non-Medicare health plan contracts 
* prohibits billing to patient for anything beyond deductibles and co-pays. 
 
A compliance plan may offer several benefits, including: - Answer * more accurate payment of claims 
* fewer billing mistakes 
* improved documentation and more accurate coding 
* less chance of violating self-referral and anti-kickback status 
 
A healthcare clearing house is a - Answer entity that processes nonstandard health infor...
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AAPC CPB - Chapter 11 Review 2024/2025 passed
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AAPC CPB - Chapter 11 ReviewMedicare'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. Total Practice Expense (PE) X Conversion factor = Medicare payment 
d. Total Malpractice insurance (MP) X Conversion factor (CF) = Medicare payment - correct answer b. Total RVU X Conversion factor = Medicare payment 
 
The total...
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