A Buck Ch16
Quiz yourself by thinking what should be in
each of the black spaces below before clicking
on it to display the answer.
Help!
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| The coders' 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 | show 🗑
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| The Federal Register is the official publication for all "Presidential Documents," "Rules and Regulations," "Proposed Rules," and "Notices" | show 🗑
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| show | True
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| show | True
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| show | False
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| show | True
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| show | 1965
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| show | hospital/facility care
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| show | physician services and durable medical equipment
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| Who handles the day-to-day operation of the Medicare program for the CMS | show 🗑
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| show | 80 %
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| The incentive to Medicare participating providers is | show 🗑
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| show | ICD-9-CM, CPT, HCPCS
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| show | the government
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| A major change took place in Medicare in __ with the enactment of the Omnibus Budget Reconciliation Act | show 🗑
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| The physician fee schedule is updated each April 15 and is composed of | show 🗑
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| show | Site of Service limitations
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| show | 100%, 50%, 25%, 25%
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| show | 16%
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| When an unlisted procedure is billed because no other code exists to describe the treatment, payment is based on a mazimym of this percentage of the value of the intraoperation services originally performed | show 🗑
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| What edition of the Federal Register would hospital facilit6ies be especially interested in | show 🗑
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| show | November or December
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| show | American government
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| show | Centers for Medicare and Medicaid Services (CMS)
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| What are the three items that the Medicare beneficiaries are responsible to pay before Medicare will begin to pay for services | show 🗑
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| Where and when were the DRGs first developed | show 🗑
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| What was the state that first used the DRGs on a large scale | show 🗑
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| show | 25
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| show | TEFRA
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| Which of the following is not a patient attribute for classification into a DRG | show 🗑
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| show | Scope of Work
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| A complication is defined as a condition that increases the patient's length of stay in the hospital by at least 1 say in at least what percent of cases | show 🗑
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| This is not used to identify surgery unrelated to the principal diagnosis | show 🗑
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| show | Social Security Administration
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| show | CMS
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| Peer Review Organization | show 🗑
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| Resource Based Relative Value Scale | show 🗑
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| Omnibus Budget Reconciliation Act | show 🗑
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| show | DRG
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| Ambulatory Patient Groups | show 🗑
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| Maximum Annual Allowable Charge | show 🗑
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| show | RVU
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| Geographic Practice Cost Indiees | show 🗑
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| show | PPS
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| show | OIG
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| show | DHHS
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| show | accurately & completely
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| The complexity of a hospital's case load is referred to as a hospital's | show 🗑
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| A computer program called a __ is used to input the principal diagnosis and other critical information about a patient | show 🗑
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| The __ program was developed by congress to monitor the necessity of hospital admissions and review the treatment costs and medical records of hospitals | show 🗑
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| The __ is a national dollar amount that is applied to all services paid on the basis of the Medicare Fee Schedule | show 🗑
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| show | fee schedule
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| show | base
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| List the three components of the relative value unit | show 🗑
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| show | National Medicare Fraud, Restricted Medicare Fraud
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| List the three types of persons eligible for Medicare | show 🗑
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Created by:
leemiller
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