Question 1
1 out of 1 points
What term describes the reimbursement method for ambulatory surgical
procedures for Medicare patients?
Selected C.
Answer: APC
s
Question 2
1 out of 1 points
Which type of Medicare provider can decide to accept or deny assignment
and a 5% lower fee allowances for services?
Selected A.
m
Answer: Nonparticipating
er as
provider
co
eH w
Question 3
1 out of 1 points
o.
Which of the following is NOT a qualifier for the Medicare reimbursement
program? rs e
ou urc
Selected D.
Answer: Individuals who have become unemployed and
o
are not eligible for insurance
aC s
Question 4
vi y re
1 out of 1 points
What term describes the statement issued by the payer to the insured
explaining services provided and the payments made by the payer?
ed d
Selected D.
ar stu
Answer: Explanation of
benefits
Question 5
is
1 out of 1 points
Which of the following scenarios is an example of fraud?
Th
Selected A.
Answer: A clinic provides free services to Medicare patients,
in turn billing Medicare for the services.
sh
Question 6
0 out of 1 points
Which task is NOT part of the electronic claims submission process?
Selected D.
Answer:
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