MidTerm-MED1850
Help!
|
|
||||
|---|---|---|---|---|---|
| A patient control number is a unique identifier assigned to each hospital patient at the time of: | show 🗑
|
||||
| Individuals eligible for medicare may be classified into one or more of the following categories EXCEPT | show 🗑
|
||||
| show | End-stage renal disease
🗑
|
||||
| show | Medicare Part A
🗑
|
||||
| show | registration
🗑
|
||||
| The Medicare coverage that pays for physician services is | show 🗑
|
||||
| It is necessary for a professional coder to exhibit ethical behavior when coding for services and procedures. T/F | show 🗑
|
||||
| HCPCS stands for health care providers code sets. T/F | show 🗑
|
||||
| show | True
🗑
|
||||
| show | False
🗑
|
||||
| show | True
🗑
|
||||
| show | False
🗑
|
||||
| show | True.
🗑
|
||||
| Surgical codes may trigger an audit because they are used frequently. T/F | show 🗑
|
||||
| show | False.
🗑
|
||||
| One of the top coding and documentation errors is that the chief complaint is missing. T/F | show 🗑
|
||||
| show | False
🗑
|
||||
| Medicare prescription drug coverage is offered through | show 🗑
|
||||
| The Medicare profram that provides expanded benefits through private managed care health plans is | show 🗑
|
||||
| show | paying claims for Medicare beneficiaries
🗑
|
||||
| show | CMS
🗑
|
||||
| A clean claim has no mistakes or missing information. T/F | show 🗑
|
||||
| The patient and the guarantor are always the same. T/F | show 🗑
|
||||
| show | True
🗑
|
||||
| The CMS-1500 was developed by Blue Cross Blue Shield. T/F | show 🗑
|
||||
| show | Health Common Procedure Coding System.
🗑
|
||||
| The five-digit CPT codes used to report services and procedures performed by healthcare providers are also known as: | show 🗑
|
||||
| HCPCS was developed to achieve all of the following goals EXCEPT. | show 🗑
|
||||
| show | American Medical Association's CPT code.
🗑
|
||||
| HCPCS level 1 codes were developed by the. | show 🗑
|
||||
| HCPCS level 2 codes are updated annually by the. | show 🗑
|
||||
| show | Level 2 HCPCS code book.
🗑
|
||||
| A coder who needs to find the codes for prosthetic devices and related procedures would find it in the | show 🗑
|
||||
| HCPCS level 2 codes would include all of the following EXCEPT codes for: | show 🗑
|
||||
| HCPCS level 2 national codes consist of. | show 🗑
|
||||
| show | Guarantor.
🗑
|
||||
| show | Physician.
🗑
|
||||
| A claim can only be submitted to an insurance carrier on the patient's behalf if the patient has signed a (n): | show 🗑
|
||||
| The individual who purchases an insurance policy is known as the: | show 🗑
|
||||
| If needed information is missing from a claim when it is submitted to an insurance carrier, it is referred to as a(n). | show 🗑
|
||||
| show | Secondary insurance
🗑
|
||||
| show | The National Provider Identifier must be entered.
🗑
|
||||
| The CMS-1500 claim form is mandatory for all Medicare claims. | show 🗑
|
||||
| show | A) True
🗑
|
||||
| The majority of hospital reimbursement comes from: | show 🗑
|
||||
| show | Admission.
🗑
|
||||
| The process of collecting a patient's personal information and entering it into the hospital database is referred to as: | show 🗑
|
||||
| show | After the discharge paperwork is completed and signed by the physician.
🗑
|
||||
| show | Physician identification number.
🗑
|
||||
| Reimbursement methods for inpatient hospital services include all of the following EXCEPT: | show 🗑
|
||||
| The method of reimbursement that establishes the rate of payment to a hospital before services are rendered is: | show 🗑
|
||||
| show | Per Diem.
🗑
|
||||
| show | Procedures.
🗑
|
||||
| show | Inpatient surgical procedures.
🗑
|
||||
| OPPS Stands for: | show 🗑
|
||||
| show | The centers for medicare and medicaid services (CMS)
🗑
|
||||
| show | prospective payment system.
🗑
|
||||
| Most major diagnostic categories (MDCs) are based on | show 🗑
|
||||
| Diagnosis related group (DRG) classification takes into account all of the following criteria EXCEPT: | show 🗑
|
||||
| show | Attending physician
🗑
|
||||
| show | 10 diagnoses.
🗑
|
||||
| A facility's case mix is based on all of the following EXCEPT: | show 🗑
|
||||
| Software that is used to calculate the diagnosis related group (DRG) payment group is called a(n) | show 🗑
|
||||
| show | Cost outlier.
🗑
|
||||
| When referring to diagnosis related groups (DRGs), the abbreviation CC is used to indicate: | show 🗑
|
||||
| show | Low Income.
🗑
|
||||
| The abbreviation ESRD stands for | show 🗑
|
||||
| The medicare coverage that consists of hospital insurance is | show 🗑
|
||||
| The medicare coverage that pays for physician services is | show 🗑
|
||||
| show | Medicare Advantage (MA)
🗑
|
||||
| show | Medicare Part D.
🗑
|
||||
| show | Paying claims for medicare beneficiaries.
🗑
|
||||
| The organization that enrolls new medicare beneficiaries into the program is the | show 🗑
|
||||
| Organizations that are hired by the CMS to carry out day-to-day medicare program operations are known as: | show 🗑
|
||||
| show | Is also eligible for medicare coverage.
🗑
|
||||
| Medicare part A provides coverage for all of the following services EXCEPT: | show 🗑
|
||||
| Individuals age 65 and older qualify for medicare if they have paid FICA taxes for at least: | show 🗑
|
||||
| show | More than 2 years.
🗑
|
||||
| show | Medicare Part A.
🗑
|
||||
| show | Short-term hospital care, Inpatiet respite care, In-home care. ALL THE ABOVE.
🗑
|
||||
| Private-duty nursing care is: | show 🗑
|
||||
| show | Hospital coverage (Part A); Medical coverage ( Part B); Prescription drug coverage; ALL THE ABOVE.
🗑
|
||||
| Medicare Part D consists of: | show 🗑
|
||||
| show | 20%
🗑
|
||||
| Medicare Part B provides agree to accept as payment in full the amount paid by: | show 🗑
|
Review the information in the table. When you are ready to quiz yourself you can hide individual columns or the entire table. Then you can click on the empty cells to reveal the answer. Try to recall what will be displayed before clicking the empty cell.
To hide a column, click on the column name.
To hide the entire table, click on the "Hide All" button.
You may also shuffle the rows of the table by clicking on the "Shuffle" button.
Or sort by any of the columns using the down arrow next to any column heading.
If you know all the data on any row, you can temporarily remove it by tapping the trash can to the right of the row.
To hide a column, click on the column name.
To hide the entire table, click on the "Hide All" button.
You may also shuffle the rows of the table by clicking on the "Shuffle" button.
Or sort by any of the columns using the down arrow next to any column heading.
If you know all the data on any row, you can temporarily remove it by tapping the trash can to the right of the row.
Embed Code - If you would like this activity on your web page, copy the script below and paste it into your web page.
Normal Size Small Size show me how
Normal Size Small Size show me how
Created by:
virginiacollege