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Exam (elaborations)

Medical Billing and Coding question and answers 2023 verified

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Medical Billing and Coding question and answers 2023 verifiedFor screening flexible sigmoidoscopy and screening colonoscopy performed in an ASC, Medicare will pay ___% of the allowed amount for the service - correct answer 75% The accrediting body for ambulatory surgical centers is - correct answer AAAHC Common ASC specialties include all but which of the following: dermatology, orthopedics, gyncological, gastoenterology - correct answer Gynecological Medicare makes facility payments to ASCs - correct answer for only specific ASC covered surgical procedures Under the MPFS, payment rate is assigned by relative value units which take are calculated using the following three factors - correct answer Amount of physician work involved, malpractice expense, practice expense Payments made to ASC facilities from private insurers are based on - correct answer the contract the facility has negotiated with the payer ASC facility services with are covered under Part B include all but the following: The physician's professional service for performing the procedure; Surgical supplies, nursing services and equipment, Drugs, biologicals, intravenous fluids, and tubing; Simple diagnostic and preoperative testing performed by the ASC on the date of surgery - correct answer the physician's professional service for performing the procedure Providers furnishing services to Medicare Part B patients, are reimbursed via - correct answer Medicare Physician Fee Schedule

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