Practice Management (CPC)

This entity develops and publishes an annual plan that outlines the Medicare monitoring program.

A. MACs
B. OIG
C. FIs
D. CMS

This program was developed by CMS to promote national correct coding methods and to control inappropriate payment of Part B claims and hospital outpatient claims.

A. MA-PA
B. NFS
C. HIPAA
D. NCCI

What is NPI?

A. National Provider Identification
B. National Payer Identification
C. National Provider Index
D. National Payer Incentive

The RBRVS is a:

A. payment reform implemented in 1992
B. payment list that indicates the prevailing charge in a locality
C. listing of the physician's individual charges for a service.
D. listing of the customary charge for services

Which of the following is NOT considered fraud or abuse?

A. Accepting a $20 gift card from a shoe repair representative for each Medicare patient referred to his store.
B. Referring patients to a radiology center in which your physician is a partner
C. Lack of documentation of medical necessity for services reported
D. Going to lunch with a pharmaceutical representative

This document is a notification in advance of services that Medicare probably will not pay for and the estimated cost to the patient.

A. Waiver of Liability
B. Advanced Beneficiary Notice
C. UPIN
D. Coordination of Benefits

Spedific coding guidelines in the CPT manual are located in:

A. Appendix A.
B. the beginning of each section
C. the index.
D. the introduction.

Which punctuation mark between codes in the index of the CPT manual indicates a range of codes is available?

A. semicolon
B. period
C. comma
D. hypen

The term that indicates this is the type of code for which the full code description can be known only if the common part of the code (the description preceding the semicolon) of a preceding entry is refrenced:

A. add-on
B. independent
C. stand alone
D. indented

Which of the following is most accurately about the designation "(Separate procedure)". The procedure is:

A. incidental to another procedure
B. reported if it is the only procedure performed
C. reported if the procedure is unrelated to a more major procedure performed at the same time on the same site
D. All of the above