Rvu components Study guides, Class notes & Summaries
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CSPR - Certified Specialist Payment Rep (HFMA) Questions and Answers 2023
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CSPR - Certified Specialist Payment Rep (HFMA) Questions and Answers 2023 
Steps used to control costs of managed care include: 
Bundled codes 
Capitation 
Payer and Provider to agree on reasonable payment 
 
 
 
DRG is used to classify 
Inpatient admissions for the purpose of reimbursing hospitals for each case in a given category w/a negotiated fixed fee, regardless of the actual costs incurred 
 
 
 
Identify the various types of private health plan coverage 
HMO 
Conventional 
PPO and POS 
H...
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CSPR - Certified Specialist Payment Rep (HFMA) Exam 2023 with Complete Solutions
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Steps used to control costs of managed care include: - ANSWER-Bundled codes 
Capitation 
Payer and Provider to agree on reasonable payment 
 
DRG is used to classify - ANSWER-Inpatient admissions for the purpose of reimbursing hospitals for each case in a given category w/a negotiated fixed fee, regardless of the actual costs incurred 
 
Identify the various types of private health plan coverage - ANSWER-HMO 
Conventional 
PPO and POS 
HDHP/SO plans - high-deductible health plans with a savings...
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AAPC CPB - Chapter 11 Review Exam Questions With Correct Verified Answers A+ Graded
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Medicare'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 - ANS b. Total RVU X Conversion factor = Medicare payment 
 
 
The total RVU is composed of which of the ...
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CPT Exam Review Questions with 100% Correct Answers| Verified | Latest Update 2024
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What three components contribute to the calculation of Relative Value Units? 
Physician work, Practice expense, Malpractice insurance 
Rationale: Per the Centers for Medicare & Medicaid Services (CMS), Relative value units 
(RVUs) capture the following three components of patient care: Physician work RVU, Practice 
Expense RVU, and Malpractice RVUs. 
What codes are voluntarily reported to payers and provide evidence-based performance-measure 
data? 
CPT® Category II codes 
Rationale: Per AM...
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AAPC CPB - Chapter 11 Review 2024 Graded A
- Exam (elaborations) • 10 pages • 2024
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Medicare'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 - b. Total RVU X Conversion factor = Medicare payment 
 
The total RVU is composed of which of the following ...
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CDEO Chapter 7 Questions With Answers Graded A+ Assured Success
- Exam (elaborations) • 12 pages • 2024
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Modifiers - provide addtional info about the service/procedure indicating service/procedure has 
been altered but the definition of the code has not changed. 
Global Surgery Package - The time, effort, and services required to complete a procedure are 
bundled together to form a surgery package . Payment is made for a package of services and not each 
individual service provided within the package. 
Using RBRVS - CMS annually publishes Physician Fee Schedule information on its website and 
posts...
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CPT Review Questions and Answers Already Passed
- Exam (elaborations) • 15 pages • 2023
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What three components contribute to the calculation of Relative Value Units? 
Physician work, Practice expense, Malpractice insurance 
Rationale: Per the Centers for Medicare & Medicaid Services (CMS), Relative value units 
(RVUs) capture the following three components of patient care: Physician work RVU, Practice 
Expense RVU, and Malpractice RVUs. 
What codes are voluntarily reported to payers and provide evidence-based performance-measure 
data? 
CPT® Category II codes 
Rationale: Per AM...
-
AAPC CPB - Chapter 11 Review | Questions and Verified Solutions Latest Update 2024
- Exam (elaborations) • 14 pages • 2024
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AAPC CPB - Chapter 11 Review | Questions 
and Verified Solutions Latest Update 2024 
Medicare'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 - Answer - b. Total RVU 
X...
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AAPC CPB - Chapter 11 Pre-Test Questions 2024.
- Exam (elaborations) • 10 pages • 2024
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AAPC CPB - Chapter 11 Pre-Test Questions 2024.Medicare'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 - ANSWER b. Total RVU X Conversion factor = Medicare payment 
 ...
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CDEO Chapter 7 Questions & Answers Correct 100%(GRADED A+)
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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...
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