Reimbursement Quiz

Any person who is identified as receiving life or medical benefits:

A. primary
B. participant
C. beneficiary
D. recipient

According to the birthday rule, if both parents are covered by an employer-provided health policy, the insurnace policy that would be primary for reporting their child's health services is:

A. parent whose birthday is cloer to the child's
B. parent with the birthday later in the year
C. either parent
D. parent with the birthday earlier in the year.

Abbreviation for reusable medical equipment is:

A. CRN
B. DIM
C. DME
D. DRG

Management of multiple third-party payments to ensure that overpayment does not occur:

A. PRO
B. DME
C. FUD
D. COB

CMS delegates the daily operation of the Medicare program to:

A. PRO
B. RVU
C. DHHS
D. MAC's

A QIO provider is one who:

A. signs an agreement with the MAC's
B. receives 5% less than some other physicians
C. can bill the paitent the total remaining balance after payment from Medicare
D. submits charges directly to CMS

This part of Medicare covers the inpatient portion of covered costs after the deductible has been paid:

A. Part D
B. Part C
C. Part A
D. Part B

This issue of the Federal Register contains outpatient facility changes for CMS programs for the coming yer:

A. December/October
B. October/November
C. November/December
D. November/August

This is RBRVS payment method:

A. NFS
B. APC
C. RAI
D. OPPS

Entity responsible for development of the plan that outlines monitoring of the Medicare program:

A. HEW
B. MAC's
C. DHSS
D. OIG