QUIZ 5- REIMBURSEMENT, GRADED
QUIZ 6- REIMBURSEMENT EXAM
QUESTIONS AND ANSWERS (VERIFIED
AND UPDATED)
The services of physicians and other health professionals to Medicare beneficiaries are covered
under which part of Medicare - ANS B
which of the following reflects the three elements of an RVU - ANS physician work, practice
expense, malpractice
how can physician payments be adjusted for the price differences among various parts of the
country - ANS geographic practice cost index (GPCI)
in the RBRVS, services include office visits, diagnostic and surgical procedures, and other
therapies; many types of professionals that provide these types of services. Which professional
is not reimbursed under the RBRVS system - ANS dentists
Medicare's reimbursement is always the same for all clinicians and not adjusted by the type or
characteristics of the provider - ANS false
in the RBRVS payment system, one unique element in the calculation of reimbursement for
anesthesia services is the use of 15-minute units of time - ANS true
@2026/2027 ALLRIGHTS RESERVED.
, which of the following services of health professionals provided to Medicare beneficiaries are
covered under Part B Medicare (select all that apply) - ANS audiologists, physicians,
podiatrists, chiropractors, clinical social workers, optometrists, nurse practitioners
the resource-based relative value scale (RBRVS) is a system of classifying health services based
on the cost of furnishing physician services in different settings, the skill and training levels
required to perform the services, and the time and risk involved - ANS true
In the RBRVS, the abbreviation GPCI stands for: - ANS Geographic Practice Cost Index
in the RBRVS payment system, which of the following is true about the conversion factor (CF) -
ANS it is the government's most direct control on Medicare payments to physicians and other
professionals
Although many make the mistake of using these terms interchangeably, the RBRVS is the
reimbursement methodology platform and the MPFS is a resource measurement system -
ANS false
in the RBRVS, which medical codes have associated RVUs - ANS HCPCS/CPT codes
in the RBRVS, one of the three elements of RVUs is physician work which reflects the time the
physician spends providing a service and the intensity with which the time is spent. The four
aspects of intensity include 1) mental effort and judgement, 2) technical skill, 3) physical effort,
and 4) psychological stress - ANS true
in the RBRVS, which is the term for the across-the-board multiplier - ANS conversion factor
(CF)
in the RBRVS, what is another term for the element that represents the cost of malpractice
insurance - ANS professional liability insurance
@2026/2027 ALLRIGHTS RESERVED.
QUIZ 6- REIMBURSEMENT EXAM
QUESTIONS AND ANSWERS (VERIFIED
AND UPDATED)
The services of physicians and other health professionals to Medicare beneficiaries are covered
under which part of Medicare - ANS B
which of the following reflects the three elements of an RVU - ANS physician work, practice
expense, malpractice
how can physician payments be adjusted for the price differences among various parts of the
country - ANS geographic practice cost index (GPCI)
in the RBRVS, services include office visits, diagnostic and surgical procedures, and other
therapies; many types of professionals that provide these types of services. Which professional
is not reimbursed under the RBRVS system - ANS dentists
Medicare's reimbursement is always the same for all clinicians and not adjusted by the type or
characteristics of the provider - ANS false
in the RBRVS payment system, one unique element in the calculation of reimbursement for
anesthesia services is the use of 15-minute units of time - ANS true
@2026/2027 ALLRIGHTS RESERVED.
, which of the following services of health professionals provided to Medicare beneficiaries are
covered under Part B Medicare (select all that apply) - ANS audiologists, physicians,
podiatrists, chiropractors, clinical social workers, optometrists, nurse practitioners
the resource-based relative value scale (RBRVS) is a system of classifying health services based
on the cost of furnishing physician services in different settings, the skill and training levels
required to perform the services, and the time and risk involved - ANS true
In the RBRVS, the abbreviation GPCI stands for: - ANS Geographic Practice Cost Index
in the RBRVS payment system, which of the following is true about the conversion factor (CF) -
ANS it is the government's most direct control on Medicare payments to physicians and other
professionals
Although many make the mistake of using these terms interchangeably, the RBRVS is the
reimbursement methodology platform and the MPFS is a resource measurement system -
ANS false
in the RBRVS, which medical codes have associated RVUs - ANS HCPCS/CPT codes
in the RBRVS, one of the three elements of RVUs is physician work which reflects the time the
physician spends providing a service and the intensity with which the time is spent. The four
aspects of intensity include 1) mental effort and judgement, 2) technical skill, 3) physical effort,
and 4) psychological stress - ANS true
in the RBRVS, which is the term for the across-the-board multiplier - ANS conversion factor
(CF)
in the RBRVS, what is another term for the element that represents the cost of malpractice
insurance - ANS professional liability insurance
@2026/2027 ALLRIGHTS RESERVED.
