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NWCA STUDY GUIDE QUESTIONS AND CORRECT ANSWERS

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NWCA STUDY GUIDE QUESTIONS AND CORRECT ANSWERS

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A private health care insurer awarded geographic jurisdiction to process medicare A y
B


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Medicare Administrative Contractor (MAC) is




Physician can hose whether or not accept Medicare patients, who are seeking non
medical services, signs an agreement and May sign a participating provider
agreement(PAR)


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Quality Improvement Organization (QIO)

, Reimbursement decisions


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Medicare severity diagnosis related groups (MS-DRG) are used for




The insurance form used by inpatient facilities for claims submissions


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UB04 also called c,s-1450 is




Physician services, outpatient hospital services, home health care, medically
necessary supplies and equipment.


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Part B covered expenses




Department of health and human services


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DHHS stands for

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