What are the components of relative value units (RVUs)?
a. Physician work and overhead cost
b. Physician work, practice expense, and malpractice expense
c. Physician work, hospital expense, and insurance expense
d. Physician work, practice expense, employee salaries, and insurance expense
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Q. 2) What legislation mandated the payment methodology for durable medical equipment in 1987 and the resource-based relative value scale in 1989?
a. Balanced Budget Act
b. HIPAA
c. OBRA
d. TEFRA
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Q. 3) What is assigned to each CPT and HCPCS level II code when reported under the OPPS to identify the monetary payment for that code?
a. Check digit
b. Relative value unit
c. Revenue code
d. Status indicator
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Q. 4) Mr. French is a patient at a skilled nursing facility, and he has been a resident at the facility for the past 14 days. Today the nursing supervisor uses a software tool to capture data on Mr. French to answer the questions on the minimum data set (MDS). What is this software called?
a. EDI
b. HAVEN
c. OCE
d. RAVEN
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Q. 5) A fee schedule is a _____.
a. case mix fee-for-service reimbursement methodology
b. cost-based fee-for-service reimbursement methodology
c. predetermined rates based on patient category
d. tool used in prospective payment systems
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Q. 6) Which is known as a 401(k) plan for health care?
a. Accountable health plan
b. Consumer-directed health plan
c. Health maintenance organization
d. Preferred provider organization
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Q. 7) Otolaryngologic examination under general anesthesia. Assign the CPT code.
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Q. 8) Hospital mandated on-call service, out-of-hospital, one hour. Assign the CPT code.
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Q. 9) Actinotherapy (ultraviolet light). Assign the CPT code.
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Q. 10) Chemotherapy administration, intra-arterial infusion technique, 45 minutes. Assign the CPT code.
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