Reimbursement Quiz

Card Set Information

Author:
agentholli
ID:
75952
Filename:
Reimbursement Quiz
Updated:
2011-03-29 13:43:22
Tags:
CPC exam
Folders:

Description:
for CPC exam
Show Answers:

Home > Flashcards > Print Preview

The flashcards below were created by user agentholli on FreezingBlue Flashcards. What would you like to do?


  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 insurnace 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 cloer 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 payments 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. MAC's
    D. MAC's
    (this multiple choice question has been scrambled)
  6. A QIO provider is one who:

    A. submits charges directly to CMS
    B. can bill the paitent the total remaining balance after payment from Medicare
    C. signs an agreement with the MAC's
    D. receives 5% less than some other physicians
    C. signs an agreement with the MAC's
    (this multiple choice question has been scrambled)
  7. This part of Medicare covers the inpatient portion of covered costs after the deductible 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 yer:

    A. November/August
    B. December/October
    C. October/November
    D. November/December
    D. November/December
    (this multiple choice question has been scrambled)
  9. This is RBRVS payment method:

    A. OPPS
    B. RAI
    C. NFS
    D. APC
    C. NFS
    (this multiple choice question has been scrambled)
  10. Entity responsible for development of the plan that outlines monitoring of the Medicare program:

    A. MAC's
    B. DHSS
    C. OIG
    D. HEW
    C. OIG
    (this multiple choice question has been scrambled)

What would you like to do?

Home > Flashcards > Print Preview