CVS does not currently bill Medicare part b for? - ANSWER--Continuous glucose monitors -nebulizers
Medicare part B claims are adjudicated in a/an manner - ANSWER-Non-real time
Beneficiaries are responsible for _____ of prescription costs after their yearly deductible
has been met. - ANSWER-20%
when is a supplier standards form required to be provided to thee beneficiary? - ANSWER--When requested by the beneficiary on their authorized representative
-upon the fist fill (i.e, fill 00)
AOB forms must be collected every time a beneficiary fills a Medicare part B prescription at any cvs location - ANSWER-False
failure to report the correct insulin dependence indication, or procedure modifier code, may be considered waste under medicare's fraud, waste and abuse regulations. - ANSWER-true
if the group ID of TPPC 22345 is populated with a state abbreviation and medicaid ID or
a COBA ID, this will result in a claim bing auto-crossed - ANSWER-true
beneficiary owned equipment information prompt must be completed on dts and respiratory products to remain compliant with medicare part b billing guidelines and to avoid denials - ANSWER-true
What s thee purpose of the assignment of benefts form - ANSWER-authorize CVS pharmacy to b ill medicare for payment and serves as a medical release authorization
medicare standard utilization guidelines for diabetic testing supplies are as follow - ANSWER--for insulin dependent, max testing 3x a day
-for non-insulin dependent, max 1x a day
when is insulin covered by medicare part B - ANSWER-when administered via a pump
medicare part D and Medicare part B may be billed for the same item - ANSWER-false
which date does medicare consider thee date of service, which drives refill too soon rejections? - ANSWER-POS sold date