QUESTION: 357

A company that contracts with the Centers for Medicare and Medicaid Services (CMS) to pay Medicaid claims is called a

carrier.
fiscal intermediary.
fiscal agent.
preferred provider.

Answer(s): C

QUESTION: 358

The DNFB report includes all patients who have been discharged from the facility but for whom, for one reason or another, the billing process is not complete.

diagnosis not finally balanced
days not fiscally balanced
dollars not fully billed
discharged not final billed

Answer(s): D

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The limiting charge is a percentage limit on fees specified by legislation that the nonparticipating physician may bill Medicare beneficiaries above the nonPAR fee schedule amount. The limiting charge is

Answer(s): B

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