MidTerm-MED1850
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each of the black spaces below before clicking
on it to display the answer.
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show | admission
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show | Low-income
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show | End-stage renal disease
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show | Medicare Part A
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The process of collecting a patient's personal information and entering it into the hospital's database is referred to as: | show 🗑
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The Medicare coverage that pays for physician services is | show 🗑
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It is necessary for a professional coder to exhibit ethical behavior when coding for services and procedures. T/F | show 🗑
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HCPCS stands for health care providers code sets. T/F | show 🗑
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show | True
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show | False
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It is not permissible to use "assumption coding" T/F | show 🗑
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show | False
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show | True.
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show | False
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There is only one kind of audit. T/F | show 🗑
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One of the top coding and documentation errors is that the chief complaint is missing. T/F | show 🗑
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If a patient is covered by more than one insurance policy, a physician's office will always file both the primary and secondary/ T/F | show 🗑
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Medicare prescription drug coverage is offered through | show 🗑
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The Medicare profram that provides expanded benefits through private managed care health plans is | show 🗑
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show | paying claims for Medicare beneficiaries
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show | CMS
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show | True
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show | False.
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Superbills are also referred to as encounter forms, charge slips, or routing slips. T/F | show 🗑
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show | True
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show | Health Common Procedure Coding System.
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show | Level 1 HCPCS.
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HCPCS was developed to achieve all of the following goals EXCEPT. | show 🗑
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Level 1 HCPCS codes are also known as the | show 🗑
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HCPCS level 1 codes were developed by the. | show 🗑
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HCPCS level 2 codes are updated annually by the. | show 🗑
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The code for durable medical equipment(DMA) would be found in the | show 🗑
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A coder who needs to find the codes for prosthetic devices and related procedures would find it in the | show 🗑
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HCPCS level 2 codes would include all of the following EXCEPT codes for: | show 🗑
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show | One alphabetic character and four digits.
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The person who is ultimately responsible for payment to the medical office is called the: | show 🗑
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If an insured patient signs an assignment of benefits form, the insurance carrier will send payment directly to the: | show 🗑
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show | Release of information form
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show | Policyholder
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If needed information is missing from a claim when it is submitted to an insurance carrier, it is referred to as a(n). | show 🗑
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When a patient has more than one insurance policy, one policy is considered the primary coverage and the additional policy is: | show 🗑
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On the CMS-1500 claim form, the abbreviation NPI indicates that: | show 🗑
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The CMS-1500 claim form is mandatory for all Medicare claims. | show 🗑
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show | A) True
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The majority of hospital reimbursement comes from: | show 🗑
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show | Admission.
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show | Registration.
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A hospital will bill for patient services: | show 🗑
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show | Physician identification number.
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show | Capitation.
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show | Prospective payment system.
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show | Per Diem.
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show | Procedures.
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Services covered under the ambulatory payment classification (APC) system include all of the following EXCEPT: | show 🗑
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OPPS Stands for: | show 🗑
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show | The centers for medicare and medicaid services (CMS)
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The diagnosis related group (DRG) system is a type of. | show 🗑
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show | A particular organ system.
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Diagnosis related group (DRG) classification takes into account all of the following criteria EXCEPT: | show 🗑
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The physician who is primarily responsible for a patient's care while in the hospital is referred to as the: | show 🗑
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The UB-04 claim form allows for a maximum of: | show 🗑
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A facility's case mix is based on all of the following EXCEPT: | show 🗑
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Software that is used to calculate the diagnosis related group (DRG) payment group is called a(n) | show 🗑
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A case that cannot be assigned an appropriate diagnosis related group (DRG) because of the typical situation is called a(n) | show 🗑
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When referring to diagnosis related groups (DRGs), the abbreviation CC is used to indicate: | show 🗑
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Individuals eligible for medicare may be classified into one or more of the following categories EXCEPT: | show 🗑
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show | end-stage renal disease.
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The medicare coverage that consists of hospital insurance is | show 🗑
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The medicare coverage that pays for physician services is | show 🗑
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show | Medicare Advantage (MA)
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Medicare prescription drug coverage is offered through. | show 🗑
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show | Paying claims for medicare beneficiaries.
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The organization that enrolls new medicare beneficiaries into the program is the | show 🗑
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show | Contractors.
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A spouse of a deceased, retired, or disabled individual who was or is eligible for medicare benefits: | show 🗑
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Medicare part A provides coverage for all of the following services EXCEPT: | show 🗑
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Individuals age 65 and older qualify for medicare if they have paid FICA taxes for at least: | show 🗑
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show | More than 2 years.
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show | Medicare Part A.
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show | Short-term hospital care, Inpatiet respite care, In-home care. ALL THE ABOVE.
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Private-duty nursing care is: | show 🗑
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Medicare Advantage plans ( Part C) offer which of the following benefits? | show 🗑
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Medicare Part D consists of: | show 🗑
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show | 20%
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Medicare Part B provides agree to accept as payment in full the amount paid by: | show 🗑
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Created by:
virginiacollege