These services are those performed by a nonphysician practitioner (such as a Physician Assistant) that are an integral yet incidental component of a physician's treatment for illness or injury. A physician must have personally performed an initial visit and must remain actively involved in the continuing care to the patient. Medicare requires direct supervision for these services to be billed.
Answer(s): C
The Quality Improvement Organizations (QIO) are given hospital-specific data from the Hospital Payment Monitoring Program (HPMP). Hospital data is provided to the QIOs for fourteen target areas on a quarterly basis. This report is called the
Answer(s): A
Targeted states (California, Flordia, and New York) with a large Medicare population were included in a Medicare payment recovery demonstration project. This project's purpose was to determine if the use of ___________ is a cost-effective means of ensuring correct payments are provided under Medicare. These are charged with identifying underpayments and overpayments for claims filed under Medicare Part A and Part B. They recoup overpayments from the providers.
A HIPPS (Health insurance Prospective Payment System) code is a five-character alphanumeric code. A HIPPS code is used by
Answer(s): D
The centers for Medicare and Medicaid Services (CMS) will make an adjustment to the MS- DRG payment the hospital stay. Therefore hospitals are required to report an ____________ indicator for each diagnosis.
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