Question 1

Medicare pays for what percentage of covered charges?

Accepted Answer

A) 70% 
B) 75% 
C) 80% 
D) 85% 
A) 70% 
B) 75% 
C) 80% 
D) 85% C

Question 2

What edition of the Federal Register would outpatient facilities be especially interested in?

Accepted Answer

A) October 
B) November or December 
C) January 
D) July 
A) October 
B) November or December 
C) January 
D) July B

Question 3

Medicare Part B pays for:

Accepted Answer

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

Question 4

The provider or facility is ____________________ when the payment goes directly to the patient.

Accepted Answer

The answer of The provider or facility is ____________________ when...

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

Who handles the day-to-day operation of the Medicare program for the CMS?

Accepted Answer

A) HCFA 
B) peer review organization 
C) MACs 
D) IPPS 
A) HCFA 
B) peer review organization 
C) MACs 
D) IPPS

Question 7

Identify these acronyms.
-QIO ________________________________________

Accepted Answer

Quality Im

Question 8

The Federal Register is the official publication for all "Presidential Documents," "Rules and Regulations," "Proposed Rules," and "Notices."

Accepted Answer

A) True 
 B)False

Question 9

The coder's responsibility is to ensure that the data are as accurate as possible not only for classification and study purposes but also to obtain appropriate reimbursement.

Accepted Answer

A) True 
 B)False

Question 10

CMS handles the daily operation of the Medicare program through the use of ____ ____ ____, formerly Fiscal Intermediaries.

Accepted Answer

A) Medical Adjustment Contractor 
B) Medicare Administrative Cooperative 
C) Medicare Administrative Contractors 
D) Medical Administrative Contractors 
A) Medical Adjustment Contractor 
B) Medicare Administrative Cooperative 
C) Medicare Administrative Contractors 
D) Medical Administrative Contractors

Question 11

Which of the following is NOT a stated goal of the Physician Payment Reform?

Accepted Answer

A) decrease Medicare expenditures 
B) assure quality health care at a reasonable cost 
C) limit provider liabilities 
D) redistribute physician payment more equitably 
A) decrease Medicare expenditures 
B) assure quality health care at a reasonable cost 
C) limit provider liabilities 
D) redistribute physician payment more equitably

Question 12

In the role as a medical coder, it is your responsibility to ensure that you code ____________________ and completely to optimize reimbursement for services provided.

Accepted Answer

The answer of In the role as a medical coder,...

Question 13

Identify the Medicare part with this coverage: Hospice care

Accepted Answer

A) Part A 
B) Part B 
C) Part D 
A) Part A 
B) Part B 
C) Part D

Question 14

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 15

Identify the Medicare part with this coverage: Prescription drug

Accepted Answer

A) Part A 
B) Part B 
C) Part D 
A) Part A 
B) Part B 
C) Part D

Question 16

The amount determined by multiplying the RVU weight by the geographic index and the conversion factor is called the __________ (two words) amount.

Accepted Answer

The answer of The amount determined by multiplying the RVU...

Question 17

Identify these acronyms.
-RVU ________________________________________

Accepted Answer

The answer of Identify these acronyms.
-RVU ________________________________________...

Question 18

Identify these acronyms.
-CMS ________________________________________

Accepted Answer

Centers fo

Question 19

Identify the Medicare part with this coverage: Physician visits

Accepted Answer

A) Part A 
B) Part B 
C) Part D 
A) Part A 
B) Part B 
C) Part D

Question 20

Identify these acronyms.
-MAAC ________________________________________

Accepted Answer

Maximum Ac

Exam 1: Reimbursement, Hipaa, and Compliance

Medicare pays for what percentage of covered charges?

What edition of the Federal Register would outpatient facilities be especially interested in?

Medicare Part B pays for:

The provider or facility is ____________________ when the payment goes directly to the patient.

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.

Who handles the day-to-day operation of the Medicare program for the CMS?

Identify these acronyms. -QIO ________________________________________

The Federal Register is the official publication for all "Presidential Documents," "Rules and Regulations," "Proposed Rules," and "Notices."

The coder's responsibility is to ensure that the data are as accurate as possible not only for classification and study purposes but also to obtain appropriate reimbursement.

CMS handles the daily operation of the Medicare program through the use of ____ ____ ____, formerly Fiscal Intermediaries.

Which of the following is NOT a stated goal of the Physician Payment Reform?

In the role as a medical coder, it is your responsibility to ensure that you code ____________________ and completely to optimize reimbursement for services provided.

Identify the Medicare part with this coverage: Hospice care

Medicare funds are collected by:

Identify the Medicare part with this coverage: Prescription drug

The amount determined by multiplying the RVU weight by the geographic index and the conversion factor is called the __________ (two words) amount.

Identify these acronyms. -RVU ________________________________________

Identify these acronyms. -CMS ________________________________________

Identify the Medicare part with this coverage: Physician visits

Identify these acronyms. -MAAC ________________________________________

An Overview of ICD-10-CM

ICD-10-CM Outpatient Coding and Reporting Guidelines

Using ICD-10-CM

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

Chapter-Specific Guidelines ICD-10-CM Chapters 11-14

Chapter-Specific Guidelines ICD-10-CM Chapters 15-21

Introduction to CPT

Introduction to Level Ii National Codes Hcpcs

Modifiers

Evaluation and Management EM Services

Anesthesia

Surgery Guidelines and General Surgery

Integumentary System

Musculoskeletal System

Respiratory System

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

Endocrine and Nervous Systems

Eye, Ocular Adnexa, Auditory, and Operating Microscope

Radiology

Pathologylaboratory

Medicine

Inpatient Coding

Filters

CMS handles the daily operation of the Medicare program through the use of , formerly Fiscal Intermediaries.