Free RHIA Exam Braindumps (page: 98)

Page 98 of 458

This information is published by the Medicare contractors to describe when and under what circumstances Medicare will cover a services. The ICD-9-CM and CPT/HCPCS codes are listed in the memoranda.

  1. LCD (Local Coverage Determinations)
  2. CCI (Correct Coding Initiatives)
  3. OSHA (Occupational Safety and Health Administration)
  4. PEPP (Payment Error Prevention Program)

Answer(s): A



The term "hard coding" refers to

  1. HCPCS/CPT codes that are coded by the coders.
  2. HPCS/CPT codes that appear in the hospital's chargemaster and will be included automatically on the patient's bill.
  3. ICD-9-CM codes that are coded by the coders.
  4. ICD-9-CM codes that appear in the appear in the hospital's chargemaster

Answer(s): B



This is the amount collected by the facility for the services it bills.

  1. costs
  2. charges
  3. reimbursement
  4. contractual allowance

Answer(s): C



Assume the patient has already met his or her deductible and that the physician is a Medicare participating (PAR) provider. The physician's standard fee for the services provider is $120.00. Medicare's PAR fee is $60.00. How much reimbursement will the physician receive from Medicare?

  1. $ 120.00
  2. $ 60.00
  3. $ 48.00
  4. $ 96.00

Answer(s): C



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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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