EXAM ACTUAL UPDATE QUESTIONS AND VERIFIED ANSWERS
What edition of the federal register would outpatient facilities be especially interested in? -
ANSWER November and december
What is the largest third party payer? - ANSWER American government
What government organization is responsible for administering the Medicare program? -
ANSWER Centers for Medicare and Medicaid services (CMS)
What are the three items that the Medicare beneficiaries are responsible for paying before
Medicare will begin to pay for services? - ANSWER Deductibles,premiums,and coinsurance
Medicare funds are collected by: - ANSWER Social security administration
CMS handles the daily operation of the Medicare program through the use of _______
_______________ ________, formerly fiscal intermediaries - ANSWER Medicare administrative
contractors MACs
Which of the following is NOT a stated goal of the physician payment reform? - ANSWER Limit
provider liabilities
If a QIO provider renders a covered service that costs $100 and bills Medicare for the service
and Medicare allows $58 , the provider would bill this amount to the patient: - ANSWER $0