AHIMA Registered Health Information Administrator (RHIA) RHIA Dumps in PDF

Free AHIMA RHIA Real Questions (page: 65)

The ________________ refers to a statement sent to the patient to clarify which services were provided, amount billed, and amount of payments made by the health plan.

  1. Medicare summary notice.
  2. remittance advice.
  3. health care claims transaction.
  4. coordination of benefits.

Answer(s): A



Currently, payment to the physician for outpatient surgery performed ona Medicare patient is based upon which prospective payment system?

  1. set of categories.
  2. classification system.
  3. medical nomenclature.
  4. diagnosis listing.

Answer(s): C



Which of the following best describes the situation of a provider who agrees to accept assignment for Medicare Part B services?

  1. The provider is reimbursed at 15% above the allowed charge.
  2. The provide is paid according to the Medicare physician fee schedule (MPFS) plus 10%.
  3. The provider cannot bill the patients for the balance between the MPFs amount and the total charges.
  4. The provider is a nonparticipating provider.

Answer(s): C



According to the Federal Register, the definition of a "new" patient when assigning a CPT Evaluation and Management (medical visit) code to a Medicare hospital outpatient under the prospective payment system is a patient that has

  1. not seen the physician within the last 3 years.
  2. not seen the physician within the last 5 years.
  3. not already been assigned a medical record number.
  4. never seen the physician before.

Answer(s): C



Under ASCs, bilateral procedures are reimbursed at _______ of the payment rate for their group

  1. 50%
  2. 100%
  3. 200%
  4. 150%

Answer(s): D



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