Free RHIA Exam Braindumps (page: 79)

Page 79 of 458

A patient was seen by Dr. Zachary. The charge for the office visit was $125. The Medicare beneficiary had already met his deductible. The Medicare fee schedule amount is $100. Dr. Zachary does not accept assignment. The office manager will apply a practice termed as "balance billing, " which means that the patient is

  1. financially liable for the Medicare fee schedule amount.
  2. financially liable for charges in excess of the Medicare fee schedule.
  3. not financially liable for any amount.
  4. is financially liable for the entire charge for the office visit.

Answer(s): B



The prospective payment system based upon resource utilization groups (RUGs) is used for reimbursement to ________________ for Medicare patients.

  1. freestanding ambulatory surgery centers
  2. hospital-based outpatients
  3. intermediate care facilities
  4. skilled nursing facilities

Answer(s): D



The ______________ is a statement sent to the provider to explain payments made by third party payers.

  1. remittance advice.
  2. advance beneficiary notice.
  3. attestation statement.
  4. acknowledgement notice.

Answer(s): A



How many major diagnostic categories are there in the MS-DRG system?

  1. 29
  2. 20
  3. 19
  4. 25

Answer(s): D



Page 79 of 458



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Britt commented on March 19, 2019
I take it this weekend, feeling confident about using this as an extra study tool!
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