RHIA practice questions, page 64 of 73, with answer review and explanations.
Question 316
Under ASCs, when multiple procedures are performed during the same surgical session, a payment reduction is applied. The procedure in the highest level group is reimbursed at ____ (percent) and all remaining procedures are reimbursed at ____(percent).
50$, 25%.
100%, 50%.
100%, 25%.
100%, 75%.
Question 317
The ________________ refers to a statement sent to the patient to clarify which services were provided, amount billed, and amount of payments made by the health plan.
Medicare summary notice.
remittance advice.
health care claims transaction.
coordination of benefits.
Question 318
Currently, payment to the physician for outpatient surgery performed ona Medicare patient is based upon which prospective payment system?
set of categories.
classification system.
medical nomenclature.
diagnosis listing.
Question 319
Which of the following best describes the situation of a provider who agrees to accept assignment for Medicare Part B services?
The provider is reimbursed at 15% above the allowed charge.
The provide is paid according to the Medicare physician fee schedule (MPFS) plus 10%.
The provider cannot bill the patients for the balance between the MPFs amount and the total charges.
The provider is a nonparticipating provider.
Question 320
According to the Federal Register, the definition of a "new" patient when assigning a CPT Evaluation and Management (medical visit) code to a Medicare hospital outpatient under the prospective payment system is a patient that has
not seen the physician within the last 3 years.
not seen the physician within the last 5 years.
not already been assigned a medical record number.