Medical Coding; Step-byStep

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1

Two insurance programs were established in 1965 by amendments to the Social Security Act known as Part ___ and Part ___.

A, B

2

The Secretary of Department of Health and Human Services (DHHS) has delegated responsibility for Medicare to which department?

Center for Medicare and Medicaid Services (CMS)

3

Who administers funds for Medicare?

Center for Medicare and Medicaid Services (CMS)

4

Who is eligible for Medicare?

People 65 years and older, disable receiving Social Security and those with end-stage renal disease.

5

List the three components of the relative value unit (RVU):

Work, Overhead, Malpractice

6

What does RBRVS stand for?

Resource-based Relative Value Scale

7

What is the fastest growing segment of our population today?

Elderly, persons 65 years old and older

8

What is the name given to the groups that handle the daily operation of the Medicare program?

Medicare Administrative Contractors (MAC)

9

Intentional deception or misrepresentation is known as ___.

fraud

10

Quality Improvement Organizations (QIOs) were previously termed ___.

Peer Reviewed Organizations (PROs)

11

MS-DRG assignment reports ___ services

Part A

12

October edition of the Federal Register are of special interest to ___.

hospital facilities

13

OBRA 1990 contained modifications and clarifications regarding the ___.

Physician Fee Schedule