Qualified diagnoses are a necessary part of

  1. Diabetic neuropathy is an example of a(n)
  2. comorbidityeponym

    manifestation

    sequela

  3. 2 points

Question 2

  1. When other insurers are initially liable for payment on a medical service or supply provided to a patient, Medicare classifies them as the _________ payer.Medicare secondary

    primary

    secondary

    supplemental

2 points

Question 3

  1. What term is used to describe the types and categories of patients treated by a health care facility or provider?Medicare mix

    case mix

    secondary adverse

    covered population

2 points

Question 4

  1. HCPCS level II modifiers consist of two characters that arealphabetic only

    alphabetic or alphanumeric

    alphanumeric only

    one letter and one symbol

2 points

Question 5

  1. Provider services for inpatient medical cases are billed on what basis?fee-for-service

    global fee

    OPPS

    services not billed

2 points

Question 6

  1. New CPT codes go into effecttwice each year, on January 1 and July 1.

    twice each year, on October 1 and April 1.

    once each year, on October 1.

    once each year, on December 1.

2 points

Question 7

  1. The legal business name of the practice is also called theadministrative contractor

    billing entity

    provider identity

    third-party payer

2 points

Question 8

  1. Modifiers are reported toalter or change the meaning of the code reported to the CMS-1500 claim.

    decrease the reimbursement amount to be processed by the payer.

    increase the reimbursement amount to be processed by the payer.

    indicate an alteration in the description of the procedure service performed.

2 points

Question 9

  1. Each relative value component is multiplied by the geographic cost practice index (GCPI), and then each is further multiplied by a variable figure called thecommon denominator

    conversion factor

    related work total

    relative value unit

2 points

Question 10

  1. Qualified diagnoses are a necessary part of the patient’s hospital and office record; however, physician offices are required to reportqualified diagnoses for inpatients/outpatients

    qualified diagnoses related to outpatient procedures

    signs and symptoms in addition to qualified diagnoses

    signs and symptoms instead of qualified diagnoses

2 points

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