The CMS HCPCS Workgroup maintains __________, permanent national codes, miscellaneous codes, temporary codes, and modifiers.
a. HCPCS level I codes
b. HCPCS level II codes
c. HCPCS level III codes
d. HCPCS level IV codes
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Q. 2) Of the following, which is a hospital-acquired condition (HAC)?
A. air embolism
B. Stage I pressure ulcer
C. traumatic wound infection
D. breach birth
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Q. 3) DMEPOS claims are submitted to DME __________.
a. carriers
b. fiscal intermediaries
c. DMEPOS dealers
d. Medicare administrative contractors
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Q. 4) A lump-sum payment distributed among the physicians who performed the procedure or
interpreted its results and the health care facility that provided equipment, supplies, and
technical support is known as
A. capitation.
B. fee-for-service.
C. a prospective payment system.
D. a global payment.
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Q. 5) Which supply patients with durable medical equipment?
a. carriers
b. fiscal intermediaries
c. DMEPOS dealers
d. Medicare administrative contractors
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Q. 6) State Medicaid programs are required to offer medical assistance for
A. all individuals age 65 and over.
B. individuals with qualified financial need.
C. patients with end stage renal disease.
D. patients receiving dialysis for permanent kidney failure.
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Q. 7) Which includes artificial limbs, braces, medications, surgical dressings, and wheelchairs?
a. durable medical equipment
b. durable medical equipment and supplies
c. durable medical equipment, prosthetics, and orthotics
d. durable medical equipment, prosthetics, orthotics, and supplies
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Q. 8) Terminally ill patients with life expectancies of ______ may opt to receive hospice services.
A. 6 months or less
B. 6 months to a year
C. one year or more
D. one year or less
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Q. 9) Medicare defines __________ as equipment that can withstand repeated use in the patient's home and not in the absence of illness or injury.
a. durable medical equipment
b. durable medical equipment and supplies
c. durable medical equipment, prosthetics, and orthotics
d. durable medical equipment, prosthetics, orthotics, and supplies
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Q. 10) Coinsurance payments are paid by the _______ and determined by a specified ratio.
A. physician
B. third-party payer
C. facility
D. patient (insured)