CPC Exam

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Author:
CPC
ID:
1429
Filename:
CPC Exam
Updated:
2009-11-22 20:29:18
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Reimbursement Issues
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Description:
Reimbursement Issues
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  1. Any person who is identified as receiving life or medical benefits:
    A. primary
    B. participant
    C. recipient
    D. beneficiary
    D. beneficiary
    (this multiple choice question has been scrambled)
  2. According to the Birthday Rule, if both parents are covered by an employer-provided health policy, the insurance policy that would be primary for reporting their child's health services is:
    A. parent with the birthday earlier in the year
    B. parent with the birthday later in the year
    C. either parent
    D. parent whose birthday is closer to the child's
    A. parent with the birthday earlier in the year
    (this multiple choice question has been scrambled)
  3. Abbreviation for reusable medical equipment is:
    A. DIM
    B. DME
    C. DRG
    D. CRN
    B. DME
    (this multiple choice question has been scrambled)
  4. Management of multiple third-party payment to ensure that overpayment does not occur:
    A. PRO
    B. COB
    C. DME
    D. FUD
    B. COB
    (this multiple choice question has been scrambled)
  5. CMS delegates the daily operation of the Medicare program to:
    A. RVU
    B. DHHS
    C. PRO
    D. MACs or FIs
    D. MACs or FIs
    (this multiple choice question has been scrambled)
  6. A PAR physician is one who:
    A. submits charges directly to CMS
    B. can bill the patient the total remaining balance after payment from Medicare.
    C. signs an agreement with the FIs or MACs
    D. receives 5% less than some other physicians
    C. signs an agreement with the FIs or MACs
    (this multiple choice question has been scrambled)
  7. This part of Medicare covers the inpatient portion of covered costs after the deductibel has been paid:
    A. Part C
    B. Part A
    C. Part B
    D. Part D
    B. Part A
    (this multiple choice question has been scrambled)
  8. This issue of the Federal Register contains outpatient facility changes for CMS programs for the coming year:
    A. November/August
    B. December/October
    C. October/November
    D. November/December
    D. November/December
    (this multiple choice question has been scrambled)
  9. This replaced the RBRVS:
    A. OPPS
    B. RAI
    C. MFS
    D. APC
    C. MFS
    (this multiple choice question has been scrambled)
  10. Entity responsible for development of the plan that outlines monitoring of the Medicare program:
    A. FIs or MACs
    B. DHSS
    C. OIG
    D. HEW
    C. OIG
    (this multiple choice question has been scrambled)

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