The third step is
Answer(s): B
The fourth step is
Answer(s): A
If the Medicare nonPAR approved payment amount is $128.00 for a proctoscopy, what is the total Medicare approved payment amount for a doctor who does not accept assignment, applying the limiting charge for this procedure?
Answer(s): D
Under the inpatient prospective payment system (IPPS), there is a three-day payment window (formerly referred to as the 72-hour rule). This rule requires that outpatient preadmission services that are provided by a hospital up to three calendar days prior to a patient's inpatient admission be covered by the IPPS MS-DRG payment for
Under the outpatient prospective payment system (OPPS), status indicator "______" is a payment indicator that refers to "significant procedures for which the multiple procedure reduction applies." This means that the reported CPT and/or HCPCS Level II code will be paid a discounted APC reimbursement rate when reported with other procedures on the same claim.
Answer(s): C
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