Exam 1: Reimbursement, Hipaa, and Compliance

Select the three components of the relative value unit.

Select the three goals of the Physician Payment Reform.

A major change took place in Medicare in ____ with the enactment of the Omnibus Budget Reconciliation Act.

Select the three types of persons eligible for Medicare.

What are the three items that the Medicare beneficiaries are responsible for paying before Medicare will begin to pay for services?

Medicare Part A pays for:

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

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

The physician fee schedule is updated each April 15 and is composed of:

If a surgeon performs more than one procedure on the same patient on the same day, and discounts were made on all subsequent procedures, Medicare would pay what percentages for the first, second, third, fourth, and fifth procedures?

The __________ (two words) is a national dollar amount that is applied to all services paid on the basis of the MFS.

The Medicare program was established in:

Part B services are billed using:

The ____________________ program was developed by Congress to monitor the necessity of hospital admissions and review the treatment costs and medical records of hospitals.

Identify these acronyms. -RBRVS ________________________________________

Identify these acronyms. -DHHS ________________________________________

The Medicare Prescription Drug, Improvement, and Modernization Act of 2003 established these new benefits available under the Medicare program.

Medicare sets the payment level for assistant surgeons at a percentage of the fee schedule amount for the ____ surgical service.

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

This program is also known as Medicare Advantage.