The __________ of service refers to the physical location where health care is provided to patients.
a. complexity
b. level
c. place
d. type
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Q. 2) Under the RBRVS, each HCPCS/CPT code contains three components, each having assigned
relative value units. These three components are
A. geographic index, wage index, and cost of living index.
B. fee-for-service, per diem payment, and capitation.
C. conversion factor, CMS weight, and hospital-specific rate.
D. physician work, practice expense, and malpractice insurance expense.
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Q. 3) The Evaluation and Management __________ of service reflects the amount of work involved in providing health care to a patient.
a. complexity
b. level
c. place
d. type
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Q. 4) All of the following items are packaged under the Medicare outpatient prospective payment
system, EXCEPT for
A. recovery room. C. anesthesia.
B. medical supplies. D. medical visits.
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Q. 5) The Evaluation and Management section is located at the beginning of CPT because these codes describe __________.
a. encounters that have unusual circumstances
b. health care rendered by nonphysicians only
c. procedures performed by anesthesiologists
d. services most frequently provided by physicians
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Q. 6) Under APCs, the payment status indicator N means that the payment
A. is for ancillary services.
B. is for a clinic or an emergency visit.
C. is discounted at 50.
D. is packaged into the payment for other services.
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Q. 7) CPT modifiers __________ the meaning of services and procedures performed by providers.
a. clarify and alter
b. completely change
c. delete
d. revise
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Q. 8) The prospective payment system used to reimburse home health agencies for patients with
Medicare utilizes data from the:
A. MDS (Minimum Data Set).
B. OASIS (Outcome and Assessment Information Set).
C. UHDDS (Uniform Hospital Discharge Data Set).
D. UACDS (Uniform Ambulatory Core Data Set).
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Q. 9) To save space in the CPT index when referencing subterms, __________ words are used.
a. add-on
b. inferred
c. presumptive
d. speculative
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Q. 10) The case-mix management system that utilizes information from the Minimum Data Set (MDS) in
long-term care settings is called
A. Medicare Severity Diagnosis Related Groups (MS-DRGs).
B. Resource Based Relative Value System (RBRVS).
C. Resource Utilization Groups (RUGs).
D. Ambulatory Patient Classifications (APCs).
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