HIMA 240 Quiz 3| Questions and Answers Latest Updated 2026/2027 (Graded A+)- American
Public University
Submission View
Your quiz has been submitted successfully.
Question 1 point
The Medicare Modernization Act of 2003 mandated the creation of a new PPS for ASC services because:
Question options:
Physicians do not like the ASC List
ASC facilities requested one
There is disparity between ambulatory surgical center and hospital outpatient facility payments for
the same services
CMS believes that there should be more disparity between ambulatory surgical center and hospital
outpatient facility payments for the same services
Question 2 point
Which element of the RVU accounts for the costs of the medical practice, such as office rent, wages of nonphysician
personnel, and supplies and equipment?
Question options:
Work value
Malpractice expenses
Extent of the physical exam
Practice expenses
Question 3 point
The MS-DRG payment includes reimbursement for all of the following inpatient services except:
Question options:
Medications
Progress notes
Laboratory tests
Dressings and other supplies
, Question 4 point
In the 1970s, what factors affected the Medicare Program?
Question options:
The increase in Medicare expenditures for inpatient hospital care jeopardized Medicare's ability to
fund other health programs.
Deductibles had remained stagnant, generating insufficient income.
Increased incomes of US citizens and, concomitantly, their increased payroll deductions paid into
the Medicare Program, assured its financial solvency.
The clear and succinct cost-based reporting requirements generated enthusiasm for the Medicare
Program in the provider community.
Question 5 point
Which one of the following statements characterizes the RBRVS payment system?
Question options:
One intent of the RBRVS payment system was to decrease the number of family practitioners.
ICD-9-CM codes trigger payment in the RBRVS payment system.
RVUs can easily be rescaled as changes in technology occur.
RBRVS payment system reflects the skill and resources required for each procedure.
Question 6 point
Which of the following statements is true about APCs?
Question options:
APCs are based solely on the patient's principal diagnosis.
ICD-9-CM procedure codes are used to group patients.
Severity of illness is taken into consideration when grouping APCs.
APCs are based on the CPT or HCPCS code(s) reported.
Question 7 point
The Omnibus Budget Reconciliation Act of 1980 amended the SSA to specify which procedures would be covered under
the prospective payment system for Ambulatory Surgical Centers. This PPS is officially named:
Question options:
Public University
Submission View
Your quiz has been submitted successfully.
Question 1 point
The Medicare Modernization Act of 2003 mandated the creation of a new PPS for ASC services because:
Question options:
Physicians do not like the ASC List
ASC facilities requested one
There is disparity between ambulatory surgical center and hospital outpatient facility payments for
the same services
CMS believes that there should be more disparity between ambulatory surgical center and hospital
outpatient facility payments for the same services
Question 2 point
Which element of the RVU accounts for the costs of the medical practice, such as office rent, wages of nonphysician
personnel, and supplies and equipment?
Question options:
Work value
Malpractice expenses
Extent of the physical exam
Practice expenses
Question 3 point
The MS-DRG payment includes reimbursement for all of the following inpatient services except:
Question options:
Medications
Progress notes
Laboratory tests
Dressings and other supplies
, Question 4 point
In the 1970s, what factors affected the Medicare Program?
Question options:
The increase in Medicare expenditures for inpatient hospital care jeopardized Medicare's ability to
fund other health programs.
Deductibles had remained stagnant, generating insufficient income.
Increased incomes of US citizens and, concomitantly, their increased payroll deductions paid into
the Medicare Program, assured its financial solvency.
The clear and succinct cost-based reporting requirements generated enthusiasm for the Medicare
Program in the provider community.
Question 5 point
Which one of the following statements characterizes the RBRVS payment system?
Question options:
One intent of the RBRVS payment system was to decrease the number of family practitioners.
ICD-9-CM codes trigger payment in the RBRVS payment system.
RVUs can easily be rescaled as changes in technology occur.
RBRVS payment system reflects the skill and resources required for each procedure.
Question 6 point
Which of the following statements is true about APCs?
Question options:
APCs are based solely on the patient's principal diagnosis.
ICD-9-CM procedure codes are used to group patients.
Severity of illness is taken into consideration when grouping APCs.
APCs are based on the CPT or HCPCS code(s) reported.
Question 7 point
The Omnibus Budget Reconciliation Act of 1980 amended the SSA to specify which procedures would be covered under
the prospective payment system for Ambulatory Surgical Centers. This PPS is officially named:
Question options:
