Verified Solutions(GRADED A+)
- ANSWER
The final diagnosis with completion of medical records within __ day(s)
following discharge.
a. 1 day
b. 30 days
c. 10 day
d. 60 days - ANSWER b. 30 days
How Many days are covered by Medicare for skilled nursing facilities?
A. Up to two midnights
B. Up to 45 days
C. Up to 60 days
D. Up to 100 days - ANSWER D. Up to 100 days
What is the average length of stay in long term care hospitals?
A. Greater than 10 days
B. Greater than 15 days
C. Greater than 20 days
D. Greater than 25 days - ANSWER D. Greater than 25 days
Which services are covered under Medicare Part A?
A. Hospice services
B. Ambulatory surgical center procedures
C. Partial hospitalization
D. Inpatient services performed by physicians - ANSWER A. Hospice
services
1. Which of the following is NOT considered an inpatient service by CMS:
A. Bed and board
B. Transportation services
C. Drugs, biologicals, and supplies
D. Physician assistant services - ANSWER D. Physician assistant
services
,A critical access hospital is:
A. A facility in rural areas for inpatient rehabilitation
B. A facility in an urban area for inpatient rehabilitation and psychiatric
services, which also offers emergency services
C. A facility in a rural area used for inpatient psychiatric services, which
also offers emergency services
D. A facility in a rural area used for emergency services, acute inpatient
care, and may offer inpatient rehabilitation and/
or psychiatric services - ANSWER D. A facility in a rural area used for
emergency services, acute inpatient care, and may offer inpatient
rehabilitation and/
or psychiatric services
Which of the following payment classification categories is used for skilled
nursing facility payments?
A. MS-DRGs
B. DRGs
C. PDPM
D. CMGs - ANSWER C. PDPM
Which of the following statements is true regarding an inpatient stay?
A. Two types of claims are generated: one for the facility and one for the
physician.
B. One claim is submitted by the facility that includes the physician
services.
C. One claim is submitted by the physician that includes the facility
services.
D. Only one claim is generated if the patient is an inpatient. - ANSWER
A. Two types of claims are generated: one for the facility and one for the
physician.
Which claim form is used to submit hospital facility charges?
A. CMS-1500
B. Chargemaster
C. Coordination of Benefits
D. UB-04 - ANSWER D. UB-04
For an inpatient admission to be considered medically necessary, the
admission requires a physician order and generally
which of the following?
,A. Performance of a procedure on the Medicare Inpatient-only List
B. An anticipated overnight stay
C. Services requiring a length of stay of at least "two midnights"
D. A stay of at least eight hours in length - ANSWER C. Services
requiring a length of stay of at least "two midnights"
Which of the following facilities must have no more than 25 inpatient beds?
A. CORF
B. CAH
C. Partial hospitalization
D. ED - ANSWER B. CAH
Teaching facilities are:
A. Reimbursed under Medicare Part B for inpatient services
B. Affiliated with a medical school
C. Authorized to only perform inpatient procedures
D. Authorized to only perform outpatient procedures - ANSWER B.
Affiliated with a medical school
Which of the following providers are in their first year of residency?
A. Resident
B. Fellow
C. Intern
D. Physician Assistant - ANSWER C. Intern
How are payments determined for acute care facilities?
A. PDPM
B. APCs
C. HIPAA
D. MS-DRGs - ANSWER D. MS-DRGs
An inpatient admission begins at which point?
A. When the patient is triaged
B. When the patient is registered
C. When the physician writes the order
D. When medical treatment begins - ANSWER C. When the physician
writes the order
Which of the following services can be performed in a CORF?
A. Emergency department visits
, B. Same day surgery
C. Observation
D. Physical therapy - ANSWER D. Physical therapy
Services provided by residents in the graduate medical education program
are reimbursed by:
A. Medicare Part A
B. Medicare Part B
C. Resource utilization groups
D. EMTALA - ANSWER A. Medicare Part A
When a patient has multiple procedures, such as an X-ray, diagnostic
testing, and a stress test, performed in a single visit, how are the charges
billed for the outpatient hospital facility?
A. One claim is generated for each department providing a service.
B. Some services may be combined; it depends on the departments
providing services.
C. One claim is generated for each date of service and reported on a UB-
04 form.
D. One claim is generated for each date of service and reported on a CMS
1500 form. - ANSWER C. One claim is generated for each date of
service and reported on a UB-04 form.
Which payment methodology applies to critical access hospitals?
A. Recourse utilization groups
B. OPPS
C. Standard payment method
D. HIPAA - ANSWER C. Standard payment method
Which organ filters and destroys red blood cells? - ANSWER Spleen
What is the term for the first portion of the small intestine? - ANSWER
Duodenum
The lymphatic ducts empty their contents into what structure? - ANSWER
Subclavian veins
Which gland is also known as the hypophysis cerebri?
A. Adrenal glands
B. Pituitary gland