Questions On Medical Billing And Coding? Quiz!

Explanation
Approximately 4,000 hospitals currently participate in the Medicare program.

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.

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.

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.

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.

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.

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

Explanation
The correct answer is 00740.