HCM 425 FINAL TEST WITH
VERIFIED ANSWERS [GUARANTEED
A+]
The Resource-Based Relative Value Scale (RBRVS) system is also known
as - ✔✔Medicare Physician Fee Schedule
Which reimbursement system establishes rates in advance of services and
is based on reported charges from which a per diem rate is determined? -
✔✔prospective cost-based
The Deficit Reduction Act of ______ established the Medicare clinical
laboratory fee schedule. - ✔✔1984
Sally Brown registered as an outpatient at the hospital for three encounters:
chest x-ray, gait training physical therapy, and excision of lesion from right
©morren 2025/2026. Year published 2025.
,upper arm. Ambulatory patient classification (APC) reimbursement will be
based on the - ✔✔assignment of multiple APCs that reflect all services
provided, with discounting.
An episode of care in the home health prospective payment system
(HHPPS) is _____ days. - ✔✔60
In which year was the inpatient prospective payment system implemented?
- ✔✔1983
Which type of hospital is excluded from the inpatient prospective payment
system? - ✔✔cancer
The IPPS window requires outpatient preadmission services provided by a
hospital up to _______ prior to a patient's inpatient admission to be
covered by the IPPS MS-DRG payment. - ✔✔72 hours
Which is a relative value unit (RVU) in the Medicare physician fee schedule
payment system? - ✔✔practice expense
©morren 2025/2026. Year published 2025.
, Medicare Part B radiology services payments vary according to - ✔✔place
of service
The physician fee schedule for CPT code 99214 is $75. Calculate the
nonPAR limiting (and allowed charge since both are same) charge for this
service. - ✔✔$81.94
The intent of establishing a limiting charge for nonPAR is to - ✔✔protect
Medicare enrollees financially
Which is classified as a nonphysician practitioner? - ✔✔physician
assistant
Which publication communicates new or changed policies and procedures
that are being incorporated into a specific CMS manual? - ✔✔program
transmittal
©morren 2025/2026. Year published 2025.
VERIFIED ANSWERS [GUARANTEED
A+]
The Resource-Based Relative Value Scale (RBRVS) system is also known
as - ✔✔Medicare Physician Fee Schedule
Which reimbursement system establishes rates in advance of services and
is based on reported charges from which a per diem rate is determined? -
✔✔prospective cost-based
The Deficit Reduction Act of ______ established the Medicare clinical
laboratory fee schedule. - ✔✔1984
Sally Brown registered as an outpatient at the hospital for three encounters:
chest x-ray, gait training physical therapy, and excision of lesion from right
©morren 2025/2026. Year published 2025.
,upper arm. Ambulatory patient classification (APC) reimbursement will be
based on the - ✔✔assignment of multiple APCs that reflect all services
provided, with discounting.
An episode of care in the home health prospective payment system
(HHPPS) is _____ days. - ✔✔60
In which year was the inpatient prospective payment system implemented?
- ✔✔1983
Which type of hospital is excluded from the inpatient prospective payment
system? - ✔✔cancer
The IPPS window requires outpatient preadmission services provided by a
hospital up to _______ prior to a patient's inpatient admission to be
covered by the IPPS MS-DRG payment. - ✔✔72 hours
Which is a relative value unit (RVU) in the Medicare physician fee schedule
payment system? - ✔✔practice expense
©morren 2025/2026. Year published 2025.
, Medicare Part B radiology services payments vary according to - ✔✔place
of service
The physician fee schedule for CPT code 99214 is $75. Calculate the
nonPAR limiting (and allowed charge since both are same) charge for this
service. - ✔✔$81.94
The intent of establishing a limiting charge for nonPAR is to - ✔✔protect
Medicare enrollees financially
Which is classified as a nonphysician practitioner? - ✔✔physician
assistant
Which publication communicates new or changed policies and procedures
that are being incorporated into a specific CMS manual? - ✔✔program
transmittal
©morren 2025/2026. Year published 2025.
