Medicare answe - Study guides, Class notes & Summaries

24 - Answer- What modifier is commonly used if a provider performs an unrelated office visit during a post operative period? Patient encounter documented using a certified EHR system - Answer- PQRS measure G8477 refers to what? Zonules - Answer- What are radially arranged natural fibers in the eye that suspend the crystalline lens from the ciliary body and hold it in position? face down/ palm down - Answer- Prone Nine - Answer- For an E&M service, what is the minimum number of elemen...

CRC Exam Chapter 1 Questions and Answers 100% Pass Who are covered entities according to HIPAA? - Correct Answer ️️ -Health Care Providers Health Plans Health Care Clearinghouses Risk Adjustment Coders should have knowledge in? - Correct Answer ️️ -The use of medications, treatments of the patient, and diagnostic testing. What document assists provider offices with the development of Compliance Manuals? - Correct Answer ️️ -OIG Compliance Plan Guidance Under HIPAA, what wou...

CMS - Answer-Centers for Medicare and Medicaid Services Comprehensive assessment is due ____ days after admission. - Answer-14 HHS stands for - Answer-HEalth and Human Services. ANSI - Answer-American National Standards Institute The quality assurance committee must meet at least _____ per OBRA 1987. - Answer-quarterly A change between 1/4" and 1/2" in level surface ___. - Answer-Requires a beveled edge A change in level surface over 1/2" ___. - Answer-requires ramp treatment A leader ...

MEDICAL INSURANCE FINAL REVIEW QUESTIONS AND ANSWERS RATED 100% CORRECT!!

CHC: Coordination of Benefits - ANSWER-- In what order the claim will be paid (i.e.: other insurance primary, medicare secondary, and medicaid 3rd) CHC: Health Professional Shortage Area - ANSWER-- shortage of primary care. Give incentive bonus to work in those areas CHC: Local Coverage Determination - ANSWER-= what medicare will cover on the loca CHC: National Coverage Determination - ANSWER-- like local, but on national side - national always trumps local CHC: Medicare Code Editor - A...

North Carolina Medicare Supplement & Long-Term Care Licensing Exam || Questions & Answers (Rated A+) North Carolina Medicare Supplement & Long-Term Care Licensing Exam || Questions & Answers (Rated A+) What is Medicare? - ANSWER - Government health insurance program for people over 65 or younger people who may qualify. Who under 65 may qualify for Medicare? - ANSWER - Individuals who have disabilities such as permanent kidney failure or ALS Medicare part A covers what? - ANSWER - Hospi...

In which two parts of Medicare is enrollment generally automatic for eligible consumers who are receiving Social Security benefits, UNLESS they choose to delay their coverage? - answer-Parts A and B Which statement is true about members of a Medicare Advantage (MA) Plan who want to enroll in a Medicare Supplement Insurance Plan? - answer-The consumer must be in a valid MA election or disenrollment period. Provided other eligibility requirements are met, who is eligible for Medicare? - ...

HCCA CHC - Enterprise Wide Billing and Reimbursement Study Guide Medicare - Part A Insurance - Answer️️ -Inpatient Medicare - Part C Insurance (Medicare Advantage) - Answer️️ - Government managed care. Must be paying Part B Premiums to qualify. Medicare - Part B Insurance - Answer️️ -Outpatient/ MD Payment (members pay premium) Medicare - Part D Coverage - Answer️️ -Prescription Drug Coverage Def: Fiscal Intermediary (FI) - Answer️️ -Process for Medicare Part A Def: ...

What is the basic assumption underlying concept of a free market and how is it challenged by the theory of "bounded rationality?" (Mod 1.1) - ANSWER Rational customers will make informed decisions about value, quality and price, while producers who meet consumer's demands will be rewarded with market share and profit. What are economic benefits of a free market? (Mod 1.1) - ANSWER If an individual does not like their provider or health plan, the should be able to "vote with their ...

Leading and Managing in Nursing sixth edition test bank 2 questions and correct answers Management - ANSWERS The activities needed to plan, organize, motivate, and control the human and material resources needed to achieve outcomes consistent with the organization's mission and purpose. Followership - ANSWERS Those with whom a leader interacts; involves assertive use of personal behaviors in contributing toward organizational outcomes while still acquiescing certain tasks to the l...