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Medicare &Physician
Medicare And Physican services
| Question | Answer |
|---|---|
| This part of Medicare covers the hospital portion | Part A |
| This issue of the Federal Register contains outpatient facilty changes for CMS programs for the coming year | November/December |
| The Medicare and beneficiary payment of PAR-covered services | 80/20 |
| This is the money that supports the Medicare program | social security taxes |
| a service that is supporttive of care of patient, such as laboratory services | ancillary services |
| this is individual under whom services Pathology and Laboratory section are provided. | physician |
| punctuation mark between codes in the index of the CPT manual indicates a range of codes | hyphen |
| this entity develops and publishes an annual plan that outlines the Medicare monitoring program | OIG |
| This program was developed by CMS to promote national correct coding methods and to control inappropriate payment of Part B claims and hosptial outpatient claims. | NCCI |
| The Medicare program was established in | 1965 |
| Pays for physician services and durable medical equipment | Part A |
| Medicare pays for percentage of covered charges. | 80% |
| The elements would be part of ___ history: employment, education, use of drugs. | social |
| Handles day-to-day operation of the Medicare program for the CMS. | MACs |
| The level of E/M service is based on | documentation, key components, contributing factors |
| The HPI must be documented in the medical record by | physician |
| The examination is the ___portion of the E/M service | objective |
| Medical desicion making is based on the ___ the physician must consider about the management of patient's condition. | number of diagnoses, risk of morbidity, amount of data |
| The Hospital Inpatient Services subsection is used for patients admitted to | an acute care facility |
| The request for advice or opinion from one physcian to another physician is this type of service. | consultation |
| Critical care codes are reported based on | time |
| Codes from the E/M subsection Nursing Facilities Service are used to report services provided in nursing facilities that used to be known as | skilled nursing, intermediate care, long term care facility |
| When a physician performs a preventive care service, the extent of the exam is determined by the | age |
Created by:
dragongoddess