HCPCS Chapter 8 Questions and Answers 100% Pass

HCPCS Chapter 8 Questions and Answers 100% Pass **What term refers to codes that ensure consistent reporting of medical products or services on claims?** HCPCS Level II codes **What term describes businesses that supply patients with durable medical equipment (e.g., canes, crutches, walkers, commode chairs)?** DMEPOS supplier **What term encompasses artificial limbs, braces, medications, surgical dressings, and wheelchairs?** Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) **Who is responsible for developing and maintaining HCPCS Level II codes?** CMS HCPCS Workgroup **What does Medicare define as equipment capable of repeated use in a patient's home?** Durable Medical Equipment (DME) **What term describes additions to codes that clarify services and procedures performed by healthcare providers?** Modifiers **What type of codes are used universally by all private and public health insurers?** Permanent codes **What are additional payments provided temporarily, beyond the Outpatient Prospective Payment System (OPPS) payment?** Transitional pass-through payments **What type of codes allow flexibility for payers to establish them as needed before the annual update on January 1st?** Temporary codes **When no existing HCPCS Level II code applies, what type of codes are used on claims?** Miscellaneous codes **CMS streamlined DME claims to be processed by only four DME MACs to combat what type of claims?** Fraudulent claims **Annual lists of valid HCPCS Level II codes include billing instructions for what purpose?** Billing purposes **For certain items or services reported to the DME MAC, what must the DMEPOS supplier obtain from the patient's healthcare provider?** Certificate of medical necessity **In Medicare billing for a fractured femur and supplied crutches, which entity processes the claim for the crutches?** DME MAC