Equipment only qualifies as medical if its __________________ use is medical.
a. only
b. customary
c. hospital
d. rehabilitation
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Q. 2) Additional information that may be required for a DME claim includes:
a. an estimated time the equipment will be used.
b. a guarantee that the patient will utilize the equipment.
c. concurrent physical therapy services.
d. a determination of purchase or rental.
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Q. 3) The durable part of DME means:
a. the equipment can be used for a long time.
b. the equipment can withstand use for the medical purpose for which it is designed.
c. the equipment can withstand repeated use.
d. All of the above
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Q. 4) If the DME equipment needs repair or replacement due to normal wear and tear, who is responsible for repair or replacement cost?
a. The patient
b. The insurance company
c. The DME supplier
d. The physician
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Q. 5) CMS's OPPS stands for:
a. Online Provider Payment System.
b. Outpatient Payment for Services.
c. Outpatient Prospective Payment System.
d. Opportunity Prospective Payer System.
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Q. 6) When DME is lost and requires replacement, who is responsible to pay for the replacement?
a. The patient
b. The insurance company
c. The DME supplier
d. None of the above
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Q. 7) DME insurance coverage is for which type of living facility?
a. Skilled nursing home
b. House
c. Hospital
d. Assisted living
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Q. 8) When coding nutritional therapies using the HCPCS, there will be codes for the delivery supplies and ____________________.
a. nutritional solutions
b. IV kits
c. room fees
d. professional administration fees
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Q. 9) Reasonableness and ________________________ are the final determinants as to whether or not DME is covered by insurance.
a. price
b. supplier
c. reusability
d. necessity
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Q. 10) There are ______ criteria that must be met to bill for DME.
a. 10
b. 2
c. 6
d. 3
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