Which is an assessment of the patient's body areas and organ systems?
a. physical examination
b. review of systems
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Q. 2) The case-mix index (CMI) for the top 10 MS-DRGs above is
A. 1.164 C. 0.782.
B. 1.278 D. 1.097.
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Q. 3) The CPT comprehensive history includes the __________.
a. chief complaint and brief history of present illness or problem
b. chief complaint, brief history of present illness or problem, and problem-pertinent system review
c. chief complaint, extended HPI, problem-pertinent system review extended to include a limited number of additional systems, and pertinent PFSH directly related to the patient's problem
d. chief complaint, extended HPI, ROS directly related to the problem(s) identified in the HPI in addition to a review of all additional body systems, and complete PFSH
(
Q. 4) Under ASC PPS, bilateral procedures are reimbursed at _______ of the payment rate for their
group.
A. 50 C. 200
B. 100 D. 150
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Q. 5) The CPT detailed history includes the __________.
a. chief complaint and brief history of present illness or problem
b. chief complaint, brief history of present illness or problem, and problem-pertinent system review
c. chief complaint, extended HPI, problem-pertinent system review extended to include a limited number of additional systems, and pertinent PFSH directly related to the patient's problem
d. chief complaint, extended HPI, ROS directly related to the problem(s) identified in the HPI in addition to a review of all additional body systems, and complete PFSH
(
Q. 6) When the MS-DRG payment received by the hospital is lower than the actual charges for
providing the inpatient services for a patient with Medicare, then the hospital
A. makes a profit.
B. can bill the patient for the difference.
C. absorbs the loss.
D. can bill Medicare for the difference.
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Q. 7) The CPT expanded problem-focused history includes the __________.
a. chief complaint and brief history of present illness or problem
b. chief complaint, brief history of present illness or problem, and problem-pertinent system review
c. chief complaint, extended HPI, problem-pertinent system review extended to include a limited number of additional systems, and pertinent PFSH directly related to the patient's problem
d. chief complaint, extended HPI, ROS directly related to the problem(s) identified in the HPI in addition to a review of all additional body systems, and complete PFSH
(
Q. 8) Which of the following best describes the situation of a provider who agrees to accept assignment
for Medicare Part B services?
A. The provider is reimbursed at 15 above the allowed charge.
B. The provider is paid according to the Medicare Physician Fee Schedule (MPFS) plus 10.
C. The provider cannot bill the patients for the balance between the MPFS amount and the total
charges.
D. The provider is a nonparticipating provider.
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Q. 9) The CPT problem-focused history includes the __________.
a. chief complaint and brief history of present illness or problem
b. chief complaint, brief history of present illness or problem, and problem-pertinent system review
c. chief complaint, extended HPI, problem-pertinent system review extended to include a limited number of additional systems, and pertinent PFSH directly related to the patient's problem
d. chief complaint, extended HPI, ROS directly related to the problem(s) identified in the HPI in addition to a review of all additional body systems, and complete PFSH
(
Q. 10) Currently, which prospective payment system is used to determine the payment to the
physician for physician services covered under Medicare Part B, such as outpatient surgery
performed on a Medicare patient?
A. MS-DRGs C. RBRVS
B. APCs D. ASCs
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