MAP 114 FINAL EXAM | QUESTIONS & ANSWERS (VERIFIED) | LATEST UPDATE | GRADED A+

DME refers to _______________ includes crutches and wheelchairs Correct Answer: durable medical equipment _____ was implemented to control cost of inpatient care and was implemented by CMS Correct Answer: PPS centers for medicare and medicaid services Correct Answer: CMS _________________ should consider all except billing the patient Correct Answer: insurance specialists When are hospitals to report actual charges for in-patient care to payers Correct Answer: after discharge ______________ are associated with a particular category of inpatient and are established by the payer Correct Answer: prospective price based rates 2 these do not decrease the practices patient base Correct Answer: managed care contracts How many people are covered by some kind of insurance ___ in the US Correct Answer: 85% documentation submitted to an insurance plan requesting reimbursement for services provided by provider Correct Answer: claim what payment system includes CHAMPVA, medicaid and medicare Correct Answer: federal established payment system for ambulance services for Medicare beneficiaries Correct Answer: ambulance fee services home health prospective payment system established: reimbursement rates for ___ days Correct Answer: 60 what are divided into these three components: work + practice expense + malpractice Correct Answer: RVU