Opps - Study guides, Class notes & Summaries

HCPCS Level II Exam Questions and Answers 2024 CPT® codes don't completely report all of the services provided to patients. Services provided by some healthcare providers are not covered under the CPT coding system. Many of the supplies used in patient care (e.g., drugs and durable medical equipment) are also not reported with CPT codes. Since providers, naturally, want to be reimbursed for professional services in specialized areas and for supplies, durable medical equipment, and so for...

COC 2020 Final Exam Study Questions - Set 8 (Complete Solutions, Answered) Somatic nerve Part of the peripheral nervous system Special payments under OPPS may be made for new technology items under what circumstance? Pass-through payments for certain drugs, biological agents, brachytherapy devices, and other medical devices for a period of at least two years but no more than three years. Rationale: Special drugs, such as chemotherapy drugs and devices or supplies that are considered "new tech...

AAPC Ch.6 Intro to CPT Questions and Answers Already Passed **What does HCPCS stand for?** **** Healthcare Common Procedure Coding System **Explanation:** HCPCS is an acronym for Healthcare Common Procedure Coding System. **Which temporary codes must OPPS hospitals use according to HCPCS Level II?** **** C codes **Explanation:** According to Outpatient PPS guidelines (codes C1713-C9899), C codes must be used by OPPS hospitals to report new technology procedures, medical devic...

COC EXAM STUDY QUESTIONS WITH GUARANTEED CORRECT ANSWERS APC - correct answersAMBULATORY PAYMENT CLASSIFICATION CDM - correct answersCHARGE DESCRIPTION MASTER CMS - correct answersCENTERS FOR MEDICARE AND MEDICAID SERVICES OPPS - correct answersOUTPATIENT PROSPECTIVE PAYMENT SYSTEM OCE - correct answersOUTPATIENT CODE EDITOR ACS - correct answersAMERICAN COLLEGE OF SURGEONS ASC - correct answersAMBULATORY SURGICAL CENTER

Inpatient Prospective Payment System (IPPS) each DC is assigned to a Medicare severity diagnosis Outpatient Prospective Payment System (OPPS) each DC is assigned to ambulatory classifications (APC) Physician fee services each service has a relative value unit (RVU) services are standardized Impact of the ACA on healthcare created new standards, individual mandates, exchanges and Medicaid expansion, focused on quality through clinical compensation, bundled payment, value-based purchasing

What is an exception to the two midnight rule - Patient admitted for a procedure that can only be performed as an inpatient procedure leaving on day 2 Which of the facility is not an inpatient facility - ASC How many days are covered by Medicare for skilled nursing facilities - Up to 100 days What is the average length of stay in long-term care hospitals - Greater than 25 days Which services are covered under Medicare part A - Hospice Services Which services are considered included for inp...

HCPCS Level II Questions and Answers 100% Pass **What is the purpose of C codes under the Medicare Outpatient Prospective Payment System (OPPS)?** Required for use by hospitals under OPPS; other facilities may choose to report them. **How are G codes utilized?** Assigned nationally by CMS to identify healthcare procedures and services that may lack assigned CPT codes. **What is the function of H codes?** Establish unique temporary codes for mental health services as mandated by s...

CHDA CHDA EXAM TEST WITH GUARANTEED CORRECT ANSWERS Alpha level - Accurate AnswerThe level of Type I error that is deemed acceptable based on context in statistical hypothesis testing. See Type I error. Alternative hypothesis - Accurate AnswerThe complement of the null hypothesis that is to be tested using the appropriate statistical test. This hypothesis typically requires some action to be taken. Ambulatory payment classification (APC) - Accurate AnswerThe payment unit used in...

COC UPDATED Exam Study Guide Questions and CORRECT Answers APC - Correct ANSWER- AMBULATORY PAYMENT CLASSIFICATION CDM - Correct ANSWER- CHARGE DESCRIPTION MASTER CMS - Correct ANSWER- CENTERS FOR MEDICARE AND MEDICAID SERVICES OPPS - Correct ANSWER- OUTPATIENT PROSPECTIVE PAYMENT SYSTEM OCE - Correct ANSWER- OUTPATIENT CODE EDITOR ACS - Correct ANSWER- AMERICAN COLLEGE OF SURGEONS

APC correct answersAMBULATORY PAYMENT CLASSIFICATION CDM correct answersCHARGE DESCRIPTION MASTER CMS correct answersCENTERS FOR MEDICARE AND MEDICAID SERVICES OPPS correct answersOUTPATIENT PROSPECTIVE PAYMENT SYSTEM OCE correct answersOUTPATIENT CODE EDITOR ACS correct answersAMERICAN COLLEGE OF SURGEONS ASC correct answersAMBULATORY SURGICAL CENTER CAH correct answersCRITICAL ACCESS HOSPITAL CORF correct answersCOMPREHENSIVE OUTPT REHAB FACILITY CPT correct answersC...