Using the information provided, if the physician is a non-PAR who accepts
assignment, how much can they expect to be reimbursed by Medicare?
Physician's normal charge = $340
Medicare fee schedule = $300
Patient has met their deductible
A. $228
B. $240
C. $285
D. $300 - Answer A. $228
RHIA Domain 4 Test Questions Solved 100%
Correct
Using the information provided, if the physician is a non-PAR who accepts
assignment, how much can they expect to be reimbursed by Medicare?
Physician's normal charge = $340
Medicare fee schedule = $300
Patient has met their deductible
A. $228
B. $240
C. $285
D. $300 - Answer A. $228
An outcome of coding audit reviews may be any of the following except:
A. Coding documentation issues that prevent the coders from performing
comprehensive coding are identified
B. Redundant codes on the claims are identified
C. Cases where excellent penmanship created challenges for the coders are
identified
D. Areas where coding could be improved if a physician was queried are identified
- Answer C. Cases where excellent penmanship created challenges for the coders
are identified
, LTC hospitals must meet state requirements for --- & have an agreement with ---
in order to receive payments.
A. Acute care hospitals, Medicare
B. Medicare, acute care hospitals
C. Fiscal intermediaries, Medicare
D. Medicare, fiscal intermediaries - Answer A. Acute care hospitals, Medicare
The universal protocol requires a "time-out" prior to the start of any surgical or
invasive procedure to conduct a verification of:
A. Patient and procedure
B. Patient, procedure, and site
C. Surgeon and site
D. Surgeon, patient, & site - Answer B. Patient, procedure, and site
Bob was admitted to Mercy Hospital on June 21. The physical was completed on
June 23. According to CMS Conditions of Participation, which statement applies to
this situation?
A. The record isn't in compliance as the physical exam must be completed within
24 hours of admission.
B. The record isn't in compliance as the physical exam must be completed within
48 hours of admission.
C. The record is in compliance as the physical exam must be completed within 48
hours.
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