Rvu components Study guides, Class notes & Summaries

Review for CPB Exam Questions and answers, graded A+ To report co-management, Which below must be true? - -A. Co-management only applies to doctors in the same clinic. B. Two physicians must be performing the surgical procedure. C. Two doctors must be managing the Post-op Care. D. Non of the answers are correct. Answer: D None of the answers are correct. The doctors must be in separate office/clinics. Comanagement refers to another provider providing the post-operative care for a surgi...

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...

DME refers to _______________ includes crutches and wheelchairs Correct Answer: durable medical equipment _____ was implemented to control cost of inpatient care and was implemented by CMS Correct Answer: PPS centers for medicare and medicaid services Correct Answer: CMS _________________ should consider all except billing the patient Correct Answer: insurance specialists When are hospitals to report actual charges for in-patient care to payers Correct Answer: after discharge _________...

In which issue of the Federal Register are updates to Medicare outpatient reimbursement NOT published? - ANSWER October Medicare part _____ is a prescription drug benefit. - ANSWER Part D _____ assignment is when a provider does not bill a patient for the difference between the service cost and Medicare allowed. - ANSWER Accepting Which of the following would be considered a discount that would be permitted as a "safe harbor" from fraud and abuse regulations? - ANSWER HMO contracts ...

RBRVS correct answersResource-Based Relative Value Scale RBRVS System correct answersEstablished by Medicare to reimburse physicians based on CPT code submitted for reimbursement RVU correct answersEach 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 correct answers1) Physician work- time, skill, training, and intensity of ...

HADM 3351 Test 2 Latest Update Rated A+ What is Cash Basis It recognizes revenue when payment is received and records expenses when paid What is accrual basis Recognizes revenue when earned and records expenses when incurred Does sole proprietorship use accrual or modified cash basis? Modified cash basis what accounting structure does larger practices use? Accrual Which type of organizational structure is treated differently under the IRS tax code? Not-for-profit What is months revenue in a...

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) Practice Expense - reflects the cost of ancillary personnel, supplies, and overhead 3) Professional Liability Malpractice Insurance Using RBRVS - ANSWER-CMS annually publishes Physician Fee Schedule information on its website and posts the fo...

AAPC CPB Ch 2 exam review Questions and answers, VERIFIED/ What components make up the Medicare Physician Fee Schedule? Relative value units for physician work, practice expense, and professional liability insurance; the Geographical Practice Cost Index; and the conversion factor. Medicare uses the Medicare Physician Fee Schedule (MPFS) for reimbursement for physician services and other types of services. This replaced the old "customary, prevailing, and reasonable" (CPR) payment sy...

AAPC CPB - Chapter 11 ReviewMedicare's payment amount for services are determined by which of the following formulas? a. Sustainable growth rate (SGR) X Geographic Practice Cost Index (GPCI) = Medicare payment b. Total RVU X Conversion factor = Medicare payment c. Total Practice Expense (PE) X Conversion factor = Medicare payment d. Total Malpractice insurance (MP) X Conversion factor (CF) = Medicare payment - correct answer b. Total RVU X Conversion factor = Medicare payment The total...

AAPC CPB Ch 2 exam reviewWhat components make up the Medicare Physician Fee Schedule? Relative value units for physician work, practice expense, and professional liability insurance; the Geographical Practice Cost Index; and the conversion factor. Medicare uses the Medicare Physician Fee Schedule (MPFS) for reimbursement for physician services and other types of services. This replaced the old "customary, prevailing, and reasonable" (CPR) payment system. The MPFS is funded by Part B and is...