Question 1

Medicare funds are collected by:

Accepted Answer

A) U.S. Food and Drug Administration 
B) Social Security Administration 
C) National Centers for Health Statistics 
D) Department of the Treasury 
A) U.S. Food and Drug Administration 
B) Social Security Administration 
C) National Centers for Health Statistics 
D) Department of the Treasury

Question 2

Part B services are billed using:

Accepted Answer

A) RBRVS, GPCI, and RVUs 
B) ICD-10-CM, CPT, HCPCS 
C) MS-DRGs 
D) APCs 
A) RBRVS, GPCI, and RVUs 
B) ICD-10-CM, CPT, HCPCS 
C) MS-DRGs 
D) APCs

Question 3

List the three types of persons eligible for Medicare.

Accepted Answer

(in any order) 65 and over, th

Question 4

Under the RBRVS, the unit value is termed ____________________ Value Unit.

Accepted Answer

The answer of Under the RBRVS, the unit value is...

Question 5

Fraud is an intentional deception or misrepresentation that an individual knows to be false or does not believe to be true and makes knowing that the deception could result in some unauthorized benefit to himself/herself or some other person.

Accepted Answer

A) True 
 B)False

Question 6

Kickbacks from patients are allowed under certain circumstances according to Medicare guidelines.

Accepted Answer

A) True 
 B)False

Question 7

If a QIO provider renders a covered service that costs $100 and bills Medicare for the service and Medicare allowed $58, the provider would bill this amount to the patient.

Accepted Answer

A) $42 
B) $58 
C) $100 
D) $0 
A) $42 
B) $58 
C) $100 
D) $0

Question 8

Medicare Part A pays for:

Accepted Answer

A) professional services and durable medical equipment 
B) hospital/facility care 
C) physician services and durable medical equipment 
D) hospital/facility care and durable medical equipment 
A) professional services and durable medical equipment 
B) hospital/facility care 
C) physician services and durable medical equipment 
D) hospital/facility care and durable medical equipment

Question 9

The incentive to Medicare participating providers is:

Accepted Answer

A) direct payment on all claims 
B) a 5% higher fee schedule 
C) faster processing 
D) all of the above 
A) direct payment on all claims 
B) a 5% higher fee schedule 
C) faster processing 
D) all of the above

Question 10

List the three components of the relative value unit.

Accepted Answer

(in any or

Medicare funds are collected by:

Part B services are billed using:

List the three types of persons eligible for Medicare.

Under the RBRVS, the unit value is termed ____________________ Value Unit.

Fraud is an intentional deception or misrepresentation that an individual knows to be false or does not believe to be true and makes knowing that the deception could result in some unauthorized benefit to himself/herself or some other person.

Kickbacks from patients are allowed under certain circumstances according to Medicare guidelines.

If a QIO provider renders a covered service that costs $100 and bills Medicare for the service and Medicare allowed $58, the provider would bill this amount to the patient.

Medicare Part A pays for:

The incentive to Medicare participating providers is:

List the three components of the relative value unit.

An Overview of ICD-10-CM

ICD-10-CM Outpatient Coding and Reporting Guidelines

Using ICD-10-CM

Introduction to CPT

Introduction to Level II National Codes HCPSC

Modifiers

Evaluation and Management EM Services

Anesthesia

Surgery Guidelines and General Surgery

Extension 1: Chapter-Specific Guidelines: ICD-10-CM Chapters 1-10

Musculoskeletal System

Integumentary System

Respiratory System

Extension 2: Chapter-Specific Guidelines: ICD-10-CM Chapters 11-14

Cardiovascular System

Hemic, Lymphatic, Mediastinum, and Diaphragm

Digestive System

Urinary and Male Genital Systems

Reproductive, Intersex Surgery, Female Genital System, and Maternity Care and Delivery

Extension 3: Chapter-Specific Guidelines : ICD-10-CM Chapters 15-21

Endocrine and Nervous Systems

Eye, Ocular Adnexa, Auditory, and Operating Microscope

Radiology Section

Pathology/Laboratory Section

The Medicine Section

Inpatient Coding

Filters

Exam 1: Reimbursement, Hipaa, and Compliance

Medicare funds are collected by:

Part B services are billed using:

List the three types of persons eligible for Medicare.

Under the RBRVS, the unit value is termed ____________________ Value Unit.

Fraud is an intentional deception or misrepresentation that an individual knows to be false or does not believe to be true and makes knowing that the deception could result in some unauthorized benefit to himself/herself or some other person.

Kickbacks from patients are allowed under certain circumstances according to Medicare guidelines.

If a QIO provider renders a covered service that costs $100 and bills Medicare for the service and Medicare allowed $58, the provider would bill this amount to the patient.

Medicare Part A pays for:

The incentive to Medicare participating providers is:

List the three components of the relative value unit.

An Overview of ICD-10-CM

ICD-10-CM Outpatient Coding and Reporting Guidelines

Using ICD-10-CM

Introduction to CPT

Introduction to Level II National Codes HCPSC

Modifiers

Evaluation and Management EM Services

Anesthesia

Surgery Guidelines and General Surgery

Extension 1: Chapter-Specific Guidelines: ICD-10-CM Chapters 1-10

Musculoskeletal System

Integumentary System

Respiratory System

Extension 2: Chapter-Specific Guidelines: ICD-10-CM Chapters 11-14

Cardiovascular System

Hemic, Lymphatic, Mediastinum, and Diaphragm

Digestive System

Urinary and Male Genital Systems

Reproductive, Intersex Surgery, Female Genital System, and Maternity Care and Delivery

Extension 3: Chapter-Specific Guidelines : ICD-10-CM Chapters 15-21

Endocrine and Nervous Systems

Eye, Ocular Adnexa, Auditory, and Operating Microscope

Radiology Section

Pathology/Laboratory Section

The Medicine Section

Inpatient Coding

Filters