Care CEUs

Medicare Payment Basics

Ambulance Services Payment System

1. Medicare program spending for ambulance services in 2011 was $5.3 billion, or about _____% of total Medicare spending.

A. 1 B. 10 C. 25 D. 40

Ambulatory Surgical Center Services Payment System

2. The ASC rates are less than the OPPS rates.

A. True B. False

Clinical Laboratory Services Payment System

3. Which screening test(s) are covered by Medicare?

A. HIV / AIDS B. Tuberculosis C. Pap smear D. All of the above

Critical Access Hospitals Payment System

4. CAHs are limited to _____ beds.

A. 10 B. 25 C. 40 D. 50

Durable Medical Equipment Payment System

5. Oxygen and related supplies has been the largest category of DME, representing about a quarter of DME spending in recent years.

A. True B. False

Home Health Care Services Payment System

6. Medicare purchases home health services in units of _____-day episodes.

A. 10 B. 30 C. 45 D. 60

Hospice Services Payment System

7. Medicare makes a daily payment for hospice services. Payment amount is dependent on the services provided for that day.

A. True B. False

Hospital Acute Inpatient Services Payment System

8. Medicare reimburses acute-care hospitals for _____% of bad debts resulting from beneficiaries' nonpayment of deductibles and copayments after providers have made reasonable efforts to collect the unpaid amounts.

A. 20 B. 35 C. 50 D. 65

Inpatient Psychiatric Facility Services Payment System

9. Per diem payments decrease as patient length of stay increases.

A. True B. False

Long-Term Care Hospitals Payment System

10. To qualify as an LTCH for Medicare payment, a facility must meet Medicare's conditions of participation for acute care hospitals and have an average length of stay greater than 14 days for its Medicare patients.

A. True B. False

Outpatient Dialysis Services Payment System

11. More than _____% of all dialysis patients undergo hemodialysis three times per week in dialysis facilities.

A. 90 B. 70 C. 50 D. 30

12. Which of the following measurements is not used by CMS to adjust the base rate for case mix of adults?

A. Body surface area B. Body mass index C. Waist circumference D. All of the above are used

Outpatient Hospital Services Payment System

13. CMS pays separately for which of the following?

A. Lung cancer treatment B. Corneal tissue acquisition C. Hemodialysis D. None of the above

Outpatient Therapy Services Payment System

14. The aim of physical therapy is to improve activities such as bathing and dressing.

A. True B. False

15. Of the following, which is not defined in 15-minute increments?

A. Physical therapy B. Occupational therapy C. Speech-language pathology services D. None of the above

Physician and Other Health Professionals Payment System

16. Physician services are billed to:

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


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