Questions On Medical Billing and Coding? Quiz!

1. ASC payments are projected to increase by 1.2% in CY2018.

True

False

The given statement indicates that ASC (Ambulatory Surgical Center) payments are expected to rise by 1.2% in the year 2018. This suggests that ASCs are projected to receive a slight increase in their payments, indicating a positive trend for these healthcare facilities.

Explanation

The given statement indicates that ASC (Ambulatory Surgical Center) payments are expected to rise by 1.2% in the year 2018. This suggests that ASCs are projected to receive a slight increase in their payments, indicating a positive trend for these healthcare facilities.

2. The CY2018 Conversion Factor used to calculate Medicare physician payments is

$35.7547

$35.9996

$35.8043

The correct answer is $35.9996. This is the CY2018 Conversion Factor used to calculate Medicare physician payments. The conversion factor is a fixed dollar amount that is multiplied by the relative value units (RVUs) assigned to each service provided by physicians. It determines the payment rate for Medicare services and is updated annually to account for changes in the cost of providing care. In this case, the conversion factor for 2018 is $35.9996.

Explanation

The correct answer is $35.9996. This is the CY2018 Conversion Factor used to calculate Medicare physician payments. The conversion factor is a fixed dollar amount that is multiplied by the relative value units (RVUs) assigned to each service provided by physicians. It determines the payment rate for Medicare services and is updated annually to account for changes in the cost of providing care. In this case, the conversion factor for 2018 is $35.9996.

3. Which of the following anesthesia CPT codes have been deleted:

00740

00731

00811

00813

The correct answer is 00740.

Explanation

The correct answer is 00740.

4. C-APCs impact which of the following settings of care:

Ambulatory Surgical Centers

Outpatient Hospital

Inpatient Hospital

Physician Office

C-APCs impact the setting of care in Outpatient Hospitals. This means that the Comprehensive Ambulatory Payment Classifications have an effect on the reimbursement and payment system for services provided in outpatient hospital settings. It suggests that C-APCs play a role in determining the payment rates and reimbursement amounts for outpatient hospital services.

Explanation

C-APCs impact the setting of care in Outpatient Hospitals. This means that the Comprehensive Ambulatory Payment Classifications have an effect on the reimbursement and payment system for services provided in outpatient hospital settings. It suggests that C-APCs play a role in determining the payment rates and reimbursement amounts for outpatient hospital services.

5. On average, Medicare physician payments will:

Increase by 2%

Decrease by 5%

Remain relatively flat

Decrease by 10%

The correct answer is "Remain relatively flat." This means that, on average, Medicare physician payments will not experience significant increases or decreases, but rather stay at a relatively stable level. This suggests that there will be minimal changes in the payment rates for physicians under the Medicare program.

Explanation

The correct answer is "Remain relatively flat." This means that, on average, Medicare physician payments will not experience significant increases or decreases, but rather stay at a relatively stable level. This suggests that there will be minimal changes in the payment rates for physicians under the Medicare program.

6. The Centers for Medicare and Medicaid Services (CMS) is adding 3 additional C-APCs for CY2018.

True

False

The statement is false because the Centers for Medicare and Medicaid Services (CMS) is not adding 3 additional C-APCs for CY2018.

Explanation

The statement is false because the Centers for Medicare and Medicaid Services (CMS) is not adding 3 additional C-APCs for CY2018.

7. Which of the following HCPCS codes should be used to report anesthesia for combined upper and lower gastrointestinal endoscopic procedures, endoscope introduced both proximal to and distal to the duodenum:

00731

00732

00811

00813

The correct answer is 00813. This HCPCS code should be used to report anesthesia for combined upper and lower gastrointestinal endoscopic procedures, where the endoscope is introduced both proximal to and distal to the duodenum.

Explanation

The correct answer is 00813. This HCPCS code should be used to report anesthesia for combined upper and lower gastrointestinal endoscopic procedures, where the endoscope is introduced both proximal to and distal to the duodenum.