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Exam (elaborations)

HCPCS QUESTIONS AND ANSWERS GRADED A+

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HCPCS QUESTIONS AND ANSWERS GRADED A+ **What does the HCPCS Level II national coding system describe?** Describes various medical services and supplies not categorized in CPT. **Who are the HCPCS Level II national codes designed for?** Intended for utilization by both private and public health insurers. **What are HCPCS Level II temporary codes maintained by?** Codes maintained independently of permanent HCPCS Level II codes by CMS and other panel members. **In which HCPCS Level II section would you find codes for items like accessories, maintenance, and repair related to durable medical equipment?** Durable Medical Equipment (DME) and Related Supplies. **In which HCPCS Level II section would you find a code for an office visit specifically for adjusting drug prescriptions for mental health disorders?** Medical Services. **In which HCPCS Level II section would you find codes for chemistry, microbiology, and toxicology tests?** Pathology and Laboratory Services. **In which HCPCS Level II section would you find codes for items like exercise equipment, noncovered services, and radiopharmaceutical diagnostic agents?** Administrative Miscellaneous and Investigational. **What document ensures reimbursement to the provider if medical necessity is not established for a procedure, service, or supply?** Advance Beneficiary Notice (ABN). **Where can you find clarification about guidelines under DME MAC medical review policies?** Local Coverage Determinations (LCDs). **CMS decided to limit DME claims processing to four DME MACs to reduce what type of claims?** Fraudulent. **Which HCPCS code corresponds to a replacement battery for a home blood glucose monitor?** A4234. **Which HCPCS code corresponds to enteral nutrition via soy-based formula for a pediatric patient?** B4159. **Which HCPCS code represents a heavy-duty

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Uploaded on
July 1, 2024
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Written in
2023/2024
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