Medicare/Cms And Hyperbaric Oxygen Therapy Quiz
This quiz is a familiarization quiz on Medicare and hyperbaric oxygen therapy. Good luck!
- 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.Who publishes the LCD?
- A.
Medicare/CMS
- B.
MAC Contractors
- C.
Physicians
- D.
HBO techs
- E.
Physicians and HBO techs
- 7.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
- 8.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
- 9.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
- 10.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
- 11.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
- 12.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
- 13.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
- 14.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
- 15.Is this statement TRUE or FALSE? Only Wagner Grade 3 wounds from the ankle and below qualify for HBOT.
- A.
True
- B.
False
- 16.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
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