TEST 2: REIMBURSEMENT ISSUES Without the use of reference material, complete the following: 1. This part of Medicare covers the hospital portion: a. Part A c. Part C b. Part B d. Part D ANS: A PTS: 2 2. This issue of the Federal Register contains outpatient facility changes for CMS programs for the coming year: a. October/November c. December/October b. November/December d. November/August ANS: B PTS: 2 3. The Medicare and beneficiary payment of PAR-covered services is: a. 70/30 c. 90/10 b. 50/50 d. 80/20 ANS: D PTS: 2 4. This entity is assigned the daily operation of the Medicare program by CMS: a. RBRVS c. MAC b. FM d. IP ANS: C PTS: 2 5. This is the money that supports the Medicare program: a. tax dollars c. employer payments b. social security taxes d. employee contributions ANS: B PTS: 2 6. Under which part of Medicare would home health visits be covered? a. Part A c. Part A or B b. Part B d. Neither Part A nor Part B ANS: A PTS: 2 7. Which of the following is the PRO not responsible for reviewing? a. admission c. diagnoses b. discharge d. coverage ANS: C PTS: 2 8. A service that is supportive of care of the patient, such as laboratory services: a. co-services c. remedial services b. ancillary services d. subordinate services ANS: B PTS: 2
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