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A physician or other licensed provider will submit claims for professional services to Medicare using
what form/format ✔Correct Answer-CMS 1500 Form
ICD-10 codes are so specific that documentation in the medical record is no longer important.
✔Correct Answer-False
The current International Classification of Diseases used in the United States is: ✔Correct Answer-
ICD-10
The provider of service must document the medical care provided to the patient for the following
✔Correct Answer-As a basis for coding and billing
To establish medical necessity for the service provided
For defense in a medical malpractice case
The hospital revenue cycle includes which of the following ✔Correct Answer-Accounts receivable
Scheduling
Discharge
Coding
A hospital will submit facility charges to Medicare using what form/format ✔Correct Answer-CMS-
1450 or UB-04 Form
Healthcare professionals must constantly be aware of changes in federal regulations governing billing
and reimbursement. ✔Correct Answer-True
Level III HCPCS codes are identical to CPT codes ✔Correct Answer-False
What should not be considered in determining whether a service is medically necessary: ✔Correct
Answer-Patient convenience
What federal law requires hospitals to ask the patient if they have an advance directive? ✔Correct
Answer-Patient Self Determination Act
When must the Medicare Outpatient Observation Notice (MOON) notice be provided to Medicare
beneficiaries who are admitted as inpatients ✔Correct Answer-Never
Required consents and authorizations are obtained during the admission process and may include
✔Correct Answer-Informed consent for treatment
Authorization for release of information
Assignment of benefits
Advance directives
The assignment of benefits section is necessary to indicate that: ✔Correct Answer-the patient has
assigned the right to the payment for the services to the facility
the payment will be sent directly to the hospital rather than being mailed to the patient