HCPCS level II Exam Practice Questions and Answers 2024

HCPCS level II Exam Practice Questions and Answers 2024 HCPCS Level II -Answer-also called national code used to describe common medical services/services. 5 characters in length, and they begin w/ letters A-V followed with 4 numbers. HCPCS level II used to identify services performed by: -Answer-Physician and non physician providers. Ambulance companies Durable medical equipment companies Durable Medical Equipment (DME) -Answer-Equipment that can withstand repeated use. Primarily used to serve a medical purpose. Used in the patient's home(or assisted living facility or group home) would not be used in the absence of illness or injury. Durable Medical Equipment, prosthetics, orthotics and supplies( DMEPOS ) -Answer- includes artificial limbs, braces, medications and so on. DMEPOS dealers -Answer-supply patient with DME DMEPOS claims are submitted to DME Medicare administrative contractors (DME MACs) each DME MAC covers a specific geographical region of the country and is responsible for processing DMEPOS claims for its specific region MAC -Answer-Medicare Administrative Contractor When appropriate HCPCS level II code exists, it is often assigned instead of CPt code (with same or similar code description) for: -Answer-Medicare Accounts some State Medicaid system CMS creates Hcpcs level II code: -Answer-for services and procedures that will probably never be assigned a CPT code. to determine volume and codes of newly implemented technologies. New Hcpcs level II codes are reported for several years until -Answer-CMS initiates a process to create corresponding CPT codes When new CPT codes are published: -Answer-they are reported instead of the original HCPCS level II codes HCPCS Level II National Codes -Answer-Classify similar medical products/services. Facilitate efficient claims processing Contain a description Used primarily for billing purposes. HCPCS Level II continued to be: -Answer-reported by another payer or govt demonstration program (other than Medicare/Medicaid) Characteristic of HCPCS level II national codes: -Answer-Ensure uniform reporting of medical products or services on claims. Identify similar products or services. Not a reimbursement methodology for making coverage or payment determinations. Responsibility for HCPCS level II codes -Answer-developed and maintained by CMS DO NOT carry copyright of any organization. In public domain, which means many oublishers print annual coding manuals Some references contain: -Answer-general instructions or guidelines for each section Appendix that summarizes additions, deletions, and revisions to codes