Quiz 5- Reimbursement, Graded Quiz 6-
Reimbursement Questions and Correct
Answers/ Latest Update / Already Graded
the services of physicians and other health professionals to Medicare
beneficiaries are covered under which part of Medicare
Ans: B
which of the following reflects the three elements of an RVU
Ans: physician work, practice expense, malpractice
how can physician payments be adjusted for the price differences
among various parts of the country
Ans: geographic practice cost index (GPCI)
in the RBRVS, services include office visits, diagnostic and surgical
procedures, and other therapies; many types of professionals that
provide these types of services. Which professional is not reimbursed
under the RBRVS system
Ans: dentists
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Medicare's reimbursement is always the same for all clinicians and not
adjusted by the type or characteristics of the provider
Ans: false
in the RBRVS payment system, one unique element in the calculation
of reimbursement for anesthesia services is the use of 15-minute units
of time
Ans: true
which of the following services of health professionals provided to
Medicare beneficiaries are covered under Part B Medicare (select all
that apply)
Ans: audiologists, physicians, podiatrists, chiropractors,
clinical social workers, optometrists, nurse practitioners
the resource-based relative value scale (RBRVS) is a system of
classifying health services based on the cost of furnishing physician
services in different settings, the skill and training levels required to
perform the services, and the time and risk involved
Ans: true
In the RBRVS, the abbreviation GPCI stands for:
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Ans: Geographic Practice Cost Index
in the RBRVS payment system, which of the following is true about the
conversion factor (CF)
Ans: it is the government's most direct control on Medicare
payments to physicians and other professionals
Although many make the mistake of using these terms
interchangeably, the RBRVS is the reimbursement methodology
platform and the MPFS is a resource measurement system
Ans: false
in the RBRVS, which medical codes have associated RVUs
Ans: HCPCS/CPT codes
in the RBRVS, one of the three elements of RVUs is physician work
which reflects the time the physician spends providing a service and
the intensity with which the time is spent. The four aspects of intensity
include 1) mental effort and judgement, 2) technical skill, 3) physical
effort, and 4) psychological stress
Ans: true
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