HIM 455- outpatient PPS- ASC PPS
APCs - answer Under the OPPS, outpatient services that are similar both clinically and
in use of resources are assigned to separate groups called ____
T-surgical procedures - answer Which of the following status indicators indicates that
the APC payment is reduced when multiple procedures with this status are reported
together?
relative weight - answer Which APC component is a measure of the resource intensity
of a particular procedure or service?
The procedure in the highest APC receives full payment and the resining procedures
receive half (50 percent) payment - answer Under the ASC payment system multiple
procedures performed during the same surgical session are reimbursed at which of the
following rate?
80/20 - answer Under the ASC PS Medicare payment equals ____ percent and the
beneficiary copayment equals ____ of the total reimbursement for services provided
unlimited - answer What is the maximum number of APCs that may be reported per
outpatient encounter?
ambulatory surgery - answer A ______ center is a state-licensed, Medicare-certified
supplier of outpatient surgical services to Medicare beneficiaries
Packaging - answer______ is the combination of certain items (such as anesthesia,
supplies, and drugs) for the purpose of reimbursement.
50% - answer When a procedure is discontinued before anesthesia within the OPPS
system, it is paid at
payment status indicator - answer Under the APC system, a letter was assigned to each
CPT code which indicated how it would be reimbursed
-is a medical APC for clinic and emergency room visits
-is a evaluation and management code - answer A code with a PSI of V
HCPCS/CPT codes - answer What are APCs based on:
APCs - answer Under the OPPS, outpatient services that are similar both clinically and
in use of resources are assigned to separate groups called ____
T-surgical procedures - answer Which of the following status indicators indicates that
the APC payment is reduced when multiple procedures with this status are reported
together?
relative weight - answer Which APC component is a measure of the resource intensity
of a particular procedure or service?
The procedure in the highest APC receives full payment and the resining procedures
receive half (50 percent) payment - answer Under the ASC payment system multiple
procedures performed during the same surgical session are reimbursed at which of the
following rate?
80/20 - answer Under the ASC PS Medicare payment equals ____ percent and the
beneficiary copayment equals ____ of the total reimbursement for services provided
unlimited - answer What is the maximum number of APCs that may be reported per
outpatient encounter?
ambulatory surgery - answer A ______ center is a state-licensed, Medicare-certified
supplier of outpatient surgical services to Medicare beneficiaries
Packaging - answer______ is the combination of certain items (such as anesthesia,
supplies, and drugs) for the purpose of reimbursement.
50% - answer When a procedure is discontinued before anesthesia within the OPPS
system, it is paid at
payment status indicator - answer Under the APC system, a letter was assigned to each
CPT code which indicated how it would be reimbursed
-is a medical APC for clinic and emergency room visits
-is a evaluation and management code - answer A code with a PSI of V
HCPCS/CPT codes - answer What are APCs based on:
