CCS Practice Medical Billing Exam Questions Correctly Answered.

CCS Practice Medical Billing Exam Questions Correctly Answered. The prospective payment system used to reimburse home health agencies for patients with Medicare utilizes data from the MDS (Minimum Data Set). OASIS (Outcome and Assessment Information Set). UHDDS (Uniform Hospital Discharge Data Set). UACDS (Uniform Ambulatory Core Data Set). - CORRECT ANSWER OASIS (Outcome and Assessment Information Set). This is the amount collected by the facility for the services it bills. charges reimbursement contractual allowance costs - CORRECT ANSWER reimbursement When the MS-DRG payment received by the hospital is lower than the actual charges for providing the inpatient services for a patient with Medicare, then the hospital absorbs the loss. can bill Medicare for the difference. makes a profit. can bill the patient for the difference. - CORRECT ANSWER absorbs the loss. The physician excised a lesion from the patient's left arm with a simple closure. To report this accurately, the coder should: query the physician to document how the defect was closed. query the physician to note the patient's age. query the physician to document the excised diameter of the lesion. report the code for a simple repair. - CORRECT ANSWER query the physician to document the excised diameter of the lesion. The prospective payment system (PPS) requiring the use of DRGs for inpatient care was implemented in 1983. This PPS is used to manage the costs for assisted living facilities. medical homes. inpatient hospital stays. home health care. - CORRECT ANSWER inpatient hospital stays. Currently, which prospective payment system is used to determine the payment to the "physician" for physician services covered under Medicare Part B, such as outpatient surgery performed on a Medicare patient? MS-DRGs RBRVS ASC PPS APCs - CORRECT ANSWER ASC PPS Some services are performed by a nonphysician practitioner (such as a physician assistant). These services are an integral yet incidental component of a physician's treatment. A physician must have personally performed an initial visit and must remain actively involved in the continuing care. Medicare requires direct supervision for these services to be billed. This is called "Assistant" billing. "Technical component" billing.