Coding

Front 1

Which is a relative value unit (RVU) in the Medicare Physician fee schedule payment system?

Back 1

practice expense

Front 2

Medicare Part B radiology services payment vary according to

Back 2

place of services

Front 3

The physician fee schedule for CPT code 99214 is $75. Calculate the nonPAR limiting charge for this service.

Back 3

$81.94

Front 4

The physician fee schedule for CPT code 99214 is $75. Calculate the nonPAR allowed charge for this service.

Back 4

$71.25

Front 5

Which is classified as a nonphysician practitioner?

Back 5

physician assistant

Front 6

Which publication communicates new or changed policies and procedures that are being incorporated into a specific CMS manual?

Back 6

program transmittal

Front 7

Medicare is primary to

Back 7

Medicaid

Front 8

MS DRG

Back 8

Medical Severity Diagnosis-Related Groups

Front 9

HHRG

Back 9

Home Health Resource Groups=
Home Health

Front 10

APC

Back 10

Ambulatory Payment Classification= Outpatient

Front 11

DRG

Back 11

Diagnosis-Related Group= Inpatient

Front 12

RBRVS

Back 12

Resource-Based Relative Value Scale= Physician

Front 13

RUG

Back 13

Resource Utilization Group= Skilled Nursing

Front 14

Ambulance Fee Schedule

Back 14

Fee charge for transportation (remote will cost more in the country rather than the city)

Front 15

Sally Jones underwent outpatient surgery to have one mole removed from her upper back. The charge was $65. the fixed copayment amount for this type of procedure, adjusted for wages in the geographic area, is $15.

Back 15

65 x 20%=
65 x .20=13
so the copay is $13

Front 16

Cherie Brown underwent an outpatient chest x-ray that cost $75. The fixed copayment for this type of procedure, adjusted for wages in the geographic area, is $25.

Back 16

75 x 20%=
75 x .20=15
so the copay is $15

Front 17

James Hill underwent outpatient oral glucose tolerance test. the charge for this procedure was $122. The fixed copayment for this type of procedure, adjusted for wages in the geographic area, is $20.

Back 17

122 x 20%=
122 X .20=24.40
so the copay is $20

Front 18

Scott Wills underwent toenail removal as an outpatient. The charge was $81. The fixed copayment for this type of procedure, adjusted for wages in the geographic area, is $25.

Back 18

81 x 20%=
81 x .20=16.20
so the copay is $16.20

Front 19

George Harris had a suspicious lesion removed from his left temple as an outpatient. The charge was $78. The fixed copayment amount for this type of procedure, adjusted for wages in the geographic area, is $15.

Back 19

78 x 20%=
78 x .20=15.60
so the copay is $15

Front 20

Which DRG is assigned when the provider documents "transient ischemia" as the patient's principal diagnosis?

Back 20

DRG 524

Front 21

For a patient who has cranial and peripheral nerve disorder and a documented comorbidity, which DRG is assigned?

Back 21

DRG 18

Front 22

Which DRG is assigned for a patient whose principal diagnosis is multiple sclerosis?

Back 22

DRG 13

Front 23

A patient was diagnosed with trigeminal neuralgia. This is the only diagnosis reported in the record. Which DRG is assigned?

Back 23

DRG 19

Front 24

For a patient with cerebrovascular disease that is classified as non-specific, which DRG is assigned when the patient has a secondary diagnosis of insulin-dependent diabetes mellitus?

Back 24

DRG 16

Front 25

For an age 25 patient who undergoes craniotomy for implantation of a chemotherapeutic agent, which DRG is assigned?

Back 25

DRG 543

Front 26

Which DRG is assigned to a 5-year-old patient who underwent a procedure for a ventricular shunt?

Back 26

DRG 3

Front 27

A 56-year-old patient underwent a craniotomy and suffered a cerebrovascular accident after the procedure. Which DRG is assigned?

Back 27

DRG 1

Front 28

Which DRG is assigned for an otherwise healthy patient who underwent sciatic nerve biopsy?

Back 28

DRG 8

Front 29

A patient underwent lumbar laminectomy because of injury from a fall. The patient recently completed a course of chemotherapy for non-Hodgkin's lymphoma. Which DRG is assigned?

Back 29

DRG 531