Course exam fqhc 2023 with verified question and answers

All RHC clinics must employ at least. One NP or PA Federally Qualified Health Centers (FQHCs) are also known as Community Health Centers. true RHCs were established in what year? 1977 FQHC visits must be deemed medically necessary. True It is acceptable for a qualified patient to visit an RHC facility for a preventative visit. True All of the following staff can be identified in an FQHC clinic except the following: Dental Hygienist What type of FQHC site only operates during certain times of the year? Seasonal sites Which of the following is not an example of an intermittent site? Acute care hospital What percentage is the patient's responsibility for Medicare Part B co-insurance? 20% FQHCs serve the underserved and RHCs are reserved for the very wealthy. False Prior to the commencement of care management services, what type of consent must be obtained? Verbal consent and it must be documented in the medical records Care Management services in RHCs and FQHCs include which of the following services? Chronic care management Transitional care management Psychiatric Collaborative Care Model General behavioral health integration All answers are correct The parts of the medical record that are the responsibility of the physician must be authenticated by this physician. When non-physicians have been approved for such duties as taking medical histories or documenting aspects of physician examination, such information shall be appropriately authenticated by the __________________. Responsible physician FQHCs should maintain records of the services included in each FQHC _________ and the charges associated with the service at the time the service was furnished. G code What two types of records are verified by auditors to ensure the accuracy of cost data? Financial and statistical For each patient receiving health care services, the clinic or center maintains a record that includes, as applicable: All physician's orders, reports of treatments and medications, and other pertinent information necessary to monitor the patient's progress. Signatures of the physician or other health care professional. Reports of physical examinations, diagnostic and laboratory test results, and consultative findings All answers are correct Only individuals specified in hospital and medical staff policies may make entries in the medical record. True All entries in the medical record must be: Dated and authenticated What year were RHC/FQHC regulations and guidelines published? 1978 RHCs/FQHCs are expected to conform to signature guidelines that are more stringent than those stated for hospitals. false The Affordable Care Act established (ACA) a payment system for the costs of FQHC services under ________________ based on prospectively set rates. Medicare Part B The two main elements in an advance directive are _____________ for health care. A living will and a durable power of attorney The FQHC market basket is calculated as a percentage for? One calendar year Online digital evaluation and management services are non-face-to-face, patient-initiated, digital communications using a __________ patient portal. Secure The facility PPS rate is determined by multiplying the ____________ by the location's ___________. PPS Base Rate and Geographical Adjustment Factor (GAF) FQHC services include which of the following? Chronic Care Management (CCM) Advance Care Planning (ACP) Transitional Care Management (TCM All answers are correct FQHCs are paid under the FQHC PPS per encounter for Medicare-covered services. This rate does not include services that are not defined as FQHC services. True Hospital Services, services provided by practitioners other than FQHC practitioners, and laboratory services are non-FQHC services. true What modifier must be appended to signifying a separate time of day, treatment, and illness that occurred subsequent to another medical or mental health visit? Modifier - 59 What modifier should be appended if an Advanced Care Plan is performed on the same day as an annual wellness visit? Modifier - 33 Non-FQHC clinics bill outpatient services on what type of form? CMS-1500 FQHC bills include bill types and revenue codes. True When an FQHC practitioner provides a patient Virtual Communication Services, Medicare charges a 20% coinsurance to the patient. False FQHC bills on a UBO4 form even though they are outpatient services. True All of the following are reasons a Medical Records Specialist should have billing knowledge except: Create UB04 claims Which of the following is not an FQHC bill type? Admit to discharge No payment Adjustment all answers are correct Influenza and pneumonia vaccines are paid at what percentage? 100% Billing for FQHC is very similar to traditional physician billing. False Practitioners can furnish distant site telehealth services from any location including their home. False Annual wellness visits are billable by FQHCs. true