The hospital outpatient prospective payment system for Medicare applies to all of the following EXCEPT.
Answer(s): A
The Correct Coding Initiative (CCI) edits contain a listing of codes under two columns titled, "comprehensive codes" and "component codes." According to the CCI edits, when a provider bills Medicare for a procedure that appears in both columns for the same beneficiary on the same date of service.
Answer(s): C
The following type of hospital is considered excluded, which means that it does not participate in any type of prospective payment system (PPS).
Answer(s): D
These are financial protections to ensure that certain types of facilities (e.g., children's hospitals) recoup all of their losses due to the differences int heir APC payments and the pre-APC payments.
LCDs and NCDs are review policies that describe the circumstances of coverage for various types of medical treatment. They advise physicians which services Medicare considers reasonable and necessary and may indicate the need for an advance beneficiary notice. They are developed by the Centers for Medicare and Medicaid Services (CMS), Medicare carriers, or fiscal intermediaries LCD and NCD are acronyms that stand for
Answer(s): B
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