Revenue Cycle Management Final Exam With Verified Solutions 2024|2025

Revenue Cycle Management Final Exam With Verified Solutions 2024|2025 When completing a CMS-1500 claim for Medicare-Medicaid (Medi-Medi) crossover claims: a. enter an X in both the Medicare and Medicaid boxes of Block 1 b. enter MCD followed by the patient's Medicaid ID number in Block 10b c. enter MEDIGAP in Block 9a d. complete two claims, one each for Medicare and Medicaid Correct Answer enter an X in both the Medicare and Medicaid boxes of Block 1 Major revisions to CPT made in 1991 resulted in which of the following? a. Category II and III codes b. E/M services c. guidelines d. modifiers Correct Answer E/M services Which is designed to help individuals avoid health and injury problems? a. preventive service b. health insurance c. consumer-driven health plan d. medical care Correct Answer preventive service In a direct contract model HMO, contracted health care services are: a. provided to subscribers by physicians employed by the HMO b. provided to subscribers by two or more physician multispecialty group practices c. delivered to subscribers by physicians who remain in their independent office settings d. delivered to subscribers by individual physicians in the community Correct Answer delivered to subscribers by individual physicians in the community Which is a type of HMO where health care services are provided to subscribers by physicians employed by the HMO? a. preferred provider organization (PPO) b. exclusive provider organization (EPO) c. group model d. staff model Correct Answer staff model