- RBRVS contains relative value components that consist ofgeographic cost, work experience, expense to the practice.
intensity of work, expense to perform services, geographic location.
liability and work expense, practice expense, malpractice expense.
work expense, practice expense, malpractice expense.
- Q codes are usedto identify services that would not ordinarily be assigned a CPT code (e.g, drugs, biologicals, and other types of medical equipment or services.
to identify professional health care procedures and services that do not have codes identified in CPT.
by state Medicaid agencies when no HCPCS level II permanent codes exist but are needed to administer the Medicaid program.
by regional MACs when exisiting permanent national codes do not include codes needed to implement a regional MAC medical review coverage policy.
- “Incident to” relates to services provided by nonPARs that are defined as servicesprovided incidental to other services provided by a physician.
provided solely for the comfort and best interest of the beneficiary.
provided without the nonparticipating provider’s supervision.
that would otherwise not be reimbursed by the Medicare carrier.
- Which special codes allow payers the flexibility of establishing codes if they are needed before the next January 1 annual update?level III
- The prospective payment system providing a lump-sum payment that is dependent on the patient’s principal diagnosis, cormorbidities, complications, and principal and secondary procedures isambulatory payment classifications (APCs)
diagnosis-related groups (DRGs)
Medicare Physician Fee Schedule (MPFS)
resource-based relative value scale (RBRVS)
- Level I HCPCS codes are created by theAMA
- Which statement is true of durable medical equipment?It can withstand repeated use.
It is primarily used to serve a purpose of convenience.
It is routinely purchased by individuals who are not suffering from an illness or injury.
It is used by the patient in an outpatient rehabilitaiton facility.
- Level II HCPCS codes are created by theAMA
- A bullet or black dot located to the left of a CPT code indicatesa deleted CPT code that should not be used.
a new, never previously published CPT code.
a revised CPT code from an earlier publication.
that special rules apply to the use of this code.
- Which organization is responsible for providing suppliers and manufacturers with assistance in determining HCPCS codes to be used?AMA
durable medical equipment, prosthetic, and orthotic supplies dealers.
statistical analysis Medicare administrative contractor.