CCS DOMAIN 4 EXAM WITH COMPLETE
QUESTIONS AND ANSWERS { GRADED
A+}
Assume the patient has already met his or her deductible and that the physician is
a nonparticipating Medicare provider but does accept assignment. The standard
fee for the services provided is $120.00. Medicare's PAR fee is $60.00 and
Medicare's nonPAR fee is $57.00. How much reimbursement will the physician
receive from Medicare?
a. $120.00
b. $57.00
c. $60.00
d. $45.60 - ✔✔$45.60
, When a non-Par provider accepts assignment, they wre required to accept the
allowed amount as full payment. Therefore, the non-PAR fee, $57 is billed.
Medicare's policy is an 80/20 coinsjrance plan. Therefore, Medicare will
reimburse the provider $45.60 (57 x 0.80), qnd the pwtient ill need to pay the
other 20% ($11.40)
The primary goal of a hospital-based cancer registry is to - ✔✔Improve patient
care
National Cancer Data Base is a joint program of hospital registries of the
Commission on Cancer and the American Cancer Society. It's purpose is to ensure
quality cancer care by providing data to evaluate patient management within
hospitals and other treatment centers, without comparisons of cancer care and
outcomes between institutions and set standard to help improve quality of cancer
care
Determine which of the following is a secondary data source that would be used
to quickly gather the health records of all juvenile patients treated for diabetes
within the past 6 months - ✔✔Disease index
QUESTIONS AND ANSWERS { GRADED
A+}
Assume the patient has already met his or her deductible and that the physician is
a nonparticipating Medicare provider but does accept assignment. The standard
fee for the services provided is $120.00. Medicare's PAR fee is $60.00 and
Medicare's nonPAR fee is $57.00. How much reimbursement will the physician
receive from Medicare?
a. $120.00
b. $57.00
c. $60.00
d. $45.60 - ✔✔$45.60
, When a non-Par provider accepts assignment, they wre required to accept the
allowed amount as full payment. Therefore, the non-PAR fee, $57 is billed.
Medicare's policy is an 80/20 coinsjrance plan. Therefore, Medicare will
reimburse the provider $45.60 (57 x 0.80), qnd the pwtient ill need to pay the
other 20% ($11.40)
The primary goal of a hospital-based cancer registry is to - ✔✔Improve patient
care
National Cancer Data Base is a joint program of hospital registries of the
Commission on Cancer and the American Cancer Society. It's purpose is to ensure
quality cancer care by providing data to evaluate patient management within
hospitals and other treatment centers, without comparisons of cancer care and
outcomes between institutions and set standard to help improve quality of cancer
care
Determine which of the following is a secondary data source that would be used
to quickly gather the health records of all juvenile patients treated for diabetes
within the past 6 months - ✔✔Disease index
