Physician fee amounts - Study guides, Class notes & Summaries

RBRVS - ANSWER-Resource-Based Relative Value Scale RBRVS System - ANSWER-Established by Medicare to reimburse physicians based on CPT code submitted for reimbursement RVU - ANSWER-Each CPT code has an assigned relative value unit which, when multiplied by conversion factor and a geographic region allowance , creates the reimbursement for the medical service the CPT code represents RVU Components - ANSWER-1) Physician work- time, skill, training, and intensity of service provided 2) P...

NCCT REVIEW-COLLECTIONS QUESTIONSN AND ANSWERS 1. It is important to make the patient aware of the mailing address, interest rates, and length of agreement when setting up a A. fee schedule. B. payment arrangement. C. pre-payment plan. D. deductible fee. - Answer-payment arrangement. —-Rationale—- A payment arrangement is an agreement between the patient and medical office to make monthly payments on a balance that is the patient's responsibility. All the information will be on t...

What Act shaped how commercial insurance carriers approached the concepts of paying for medical care? - ANSWER-HMO Act of 1973 ACA - ANSWER-Affordable Care Act HMO (Health Maintenance Organization) - ANSWER-The organization is both the insurer and provider of a set of defined services. Patients within this network must use an in-network provider for their services to be covered. Capitation Payment - ANSWER-part of prospective payment in which healthcare providers receive fixed monthly p...

Calculate the following amounts for a participating provider who bills Medicare: Submitted charge (based on provider's regular fee for office visit) $ 75 Medicare physician fee schedule (PFS) $ 60 Coinsurance amount (paid by patient or supplemental insurance) $ 12 Medicare payment (80 percent of the allowed amount) $ ????? Medicare write-off (not to be paid by Medicare or the beneficiary) $ ????? correct answer: Medicare payment (80 percent of the allowed amount) $48 Medicare write-...

Which of the following Medicare policies determines if a particular item or service is covered by Medicare? -Correct Answer National Coverage Determination (NCD) A patient's employer has not submitted a premium payment. Which of the following claim statuses should the provider receive from the third-party payer? -Correct Answer Denied A billing and coding specialist should routinely analyze which of the following to determine the number of outstanding claims? -Correct Answer Aging repor...

NCCT REVIEW-COLLECTIONS QUESTIONSN AND ANSWERS 1. It is important to make the patient aware of the mailing address, interest rates, and length of agreement when setting up a A. fee schedule. B. payment arrangement. C. pre-payment plan. D. deductible fee. - Answer-payment arrangement. —-Rationale—- A payment arrangement is an agreement between the patient and medical office to make monthly payments on a balance that is the patient's responsibility. All the information will be on t...

The largest bone of the body is the femur An example of a "ball and socket" joint is the hip Brainpower Read More Previous Play Next Rewind 10 seconds Move forward 10 seconds Unmute 0:00 / 0:15 Full screen Muscles are attached to bones by tendons When a muscle contracts, it becomes shorter and thicker Growth hormone is produced in the pituitary The function of insulin is to assist glucose into the cells. The cavity within the kidney...

CDEO Chapter 7 Exam Questions With 100% Correct Answers 2024

AMCA CERTIFICATION TEST - MEDICAL ASSISTING STUDY GUIDE - SET A with Complete Solutions (2023) 1) Which of the following is considered a parasitic infection? A. Lyme disease B. Rabies C. Ringworm D. Malaria - ANSWER-D. Malaria 2) Aspirin and acetaminophen are examples of: A. Analgesics and antipyretics B. Antitussives and decongestants C. Antihistamines and antiemetics D. Antidotes and antibiotics - ANSWER-A. Analgesics and antipyretics 3) Demerol 75 mg, IM every 4 hours, as ne...

Abuse - Actions inconsistent with accepted, sound medical business or fiscal practice Accept Assignment - Provider accepts as payment in full whatever is paid on the cliam by the payer (except for any copayment and or coinsurance amounts.) Accounts Receivable - The amount owed to a business for services or goods provided. Accounts Receivable Aging Report - Shows the status (by date) of outstanding claims from each payer, as well as payments due from patients. Accounts Receivable Mana...