Medicare/cms And Hyperbaric Oxygen Therapy Quiz

20 Questions
Medicare Quizzes & Trivia

This quiz is a familiarization quiz on Medicare and hyperbaric oxygen therapy. Good luck!

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Questions and Answers
  • 1. 
    What is a Medicare MAC?
    • A. 

      Medicare Accounting Company

    • B. 

      Mickey Mouse acting Cool

    • C. 

      Media Assessment Corporation

    • D. 

      Medicare Administrative Contractor

    • E. 

      Medicare Accreditation Cooperation

  • 2. 
    Which is not a Medicare MAC's responsibility?
    • A. 

      Claims processing

    • B. 

      Beneficiary and provider customer service

    • C. 

      Appeals (in-case of denials)

    • D. 

      Provider education

    • E. 

      Qualifying Hyperbaric patients for facilities

  • 3. 
    How many MAC's in total were awarded contracts by Medicare?
    • A. 

      15.5

    • B. 

      12

    • C. 

      18

    • D. 

      15

    • E. 

      20

  • 4. 
    What is an NCD?
    • A. 

      Narcotics Crime Division

    • B. 

      National Coverage Determination

    • C. 

      Network Coverage Diary

    • D. 

      National Covert Department

    • E. 

      National Couter-terror Desk

  • 5. 
    Who publishes the NCD?
    • A. 

      Medicare/CMS

    • B. 

      MAC contractors

    • C. 

      Physicians

    • D. 

      HBO techs

    • E. 

      Physicians and HBO techs

  • 6. 
    What is an LCD?
    • A. 

      Living Coverage Determination

    • B. 

      Local Coverage Distinction

    • C. 

      Local Coverage Destination

    • D. 

      Local Cabo-cantina Dive

    • E. 

      Local Coverage Determination

  • 7. 
    Who publishes the LCD?
    • A. 

      Medicare/CMS

    • B. 

      MAC Contractors

    • C. 

      Physicians

    • D. 

      HBO techs

    • E. 

      Physicians and HBO techs

  • 8. 
    True or False.  If Medicare pays for Chronic Refractory Osteomyelitis this means that all insurance companies pay for it as well.
    • A. 

      True

    • B. 

      False

  • 9. 
    Private Insurance companies publish their own guide for HBO therapy.  This guide is called a ______________ _______________.
    • A. 

      Medicinal Procedure

    • B. 

      Medical Policy

    • C. 

      Medical Promoter

    • D. 

      Medical Paper

    • E. 

      Medical Determination

  • 10. 
    In the Region 1 MAC LCD (Palmetto GBA) it states that;  Claims for HBO submitted with ICD-9-CM codes 040.0, 444.21, 444.22, 444.81, 728.86, or 999.1 are presumed to be HBO therapy provided to inpatients requiring acute/emergent treatment. Services rendered on an outpatient basis (using outpatient bill types) will be considered medically unnecessary and will be denied. TRUE or FALSE?
    • A. 

      True

    • B. 

      False

  • 11. 
    How can you ensure that you have the correct up-to-date Medical Policy for HBOT from private insurance companies?
    • A. 

      Call the insurance Company and request the Medical Policy for HBOT

    • B. 

      Be persistent and make it sound urgent

    • C. 

      Check online to see if it is posted on the company's website

    • D. 

      Look at the date on the first page of the Medical Policy

    • E. 

      All of the above

  • 12. 
    Who is the MAC for Puerto Rico and U.S. Virgin Islands?
    • A. 

      Palmetto GBA

    • B. 

      Noridian Administrative Services

    • C. 

      First Coast Service Options, Inc

    • D. 

      TrailBlazer Health Enterprises

    • E. 

      Cahaba GBA

  • 13. 
    TRUE or FALSE.  MAC's are government entities.
    • A. 

      True

    • B. 

      False

  • 14. 
    TRUE or FALSE?  If you work in a hospital Hyperbaric Department it is important to be familiar with your LCD.
    • A. 

      True

    • B. 

      False

  • 15. 
    Are LCD's losely based on NCD's or is it the other way around?
    • A. 

      Yes

    • B. 

      No

    • C. 

      Depends on who you ask

    • D. 

      Maybe

    • E. 

      It's the other way around

  • 16. 
    Which indication is not a covered indication by Medicare?
    • A. 

      Chronic Refreactory Osteomyelitis

    • B. 

      Wagner Grade 3 Diabetic wounds that have not significantly improved in 30 days

    • C. 

      Osteoradionecrosis

    • D. 

      Hepatic necrosis

    • E. 

      Preparation and preservation of compromised skin grafts

  • 17. 
    What code does the facility/Hospital bill Medicare for every 30 minutes of HBO therapy?
    • A. 

      ICD-9000

    • B. 

      C1300

    • C. 

      99183

    • D. 

      C99183

    • E. 

      86-75-309

  • 18. 
    What code does the Physician bill Medicare for each session of HBO therapy?
    • A. 

      ICD-9000

    • B. 

      C1300

    • C. 

      99183

    • D. 

      C99183

    • E. 

      86-75-309

  • 19. 
    • A. 

      True

    • B. 

      False

  • 20. 
    If you live in California which MAC's LCD should you have?
    • A. 

      National Government Services

    • B. 

      First Coast

    • C. 

      Trailblazer

    • D. 

      Noridian

    • E. 

      Palmetto GBA