Question 1

Under the Medicare program, a nonparticipating physician may not bill more than 115 percent of

Accepted Answer

A)   the Medicare approved amount from the MFS.
B)   the approved charge on the nonPAR fee schedule.
C)   neither the Medicare approved amount from the MFS nor the approved charge on the nonPAR fee schedule.
D)   either the Medicare approved amount from the MFS or the approved charge on the nonPAR fee schedule, whichever is lower.

Question 2

The modifier GZ is appended to procedure codes for noncovered Medicare services when

Accepted Answer

A)   the item is excluded and an ABN is not required.
B)   the item is expected to be denied as not reasonable but there is no signed ABN.
C)   the item is expected to be paid in full.
D)   the item is expected to be denied but there is a signed ABN.

Question 3

Medicare may classify conditions that are not covered as

Accepted Answer

A)   not medically necessary.
B)   un-reimbursable.
C)   fraudulent.
D)   none of these is correct.

Question 4

Which part of Medicare covers influenza, pneumococcal polysaccharide vaccine, and hepatitis B virus vaccinations?

Accepted Answer

A)   Medicare Part D
B)   Medicare Part A
C)   Medicare Part B
D)   Medicare Part C

Question 5

How many CMS regional offices are there?

Accepted Answer

A)   fourteen
B)   twelve
C)   ten
D)   eight

Question 6

Which of the following is considered the best defense under the Medicare Integrity Program?

Accepted Answer

A)   using a billing service
B)   having a strong compliance plan
C)   using special coding software
D)   having credentialed coders

Question 7

The Medicare fee-for-service plan, referred to by Medicare as the __________, allows the beneficiary to choose any licensed physician certified by Medicare.

Accepted Answer

A)   Original Medicare Plan
B)   Former Medicare Plan
C)   Basic Medicare Plan
D)   Old Medicare Plan

Exam 9: Medicare

How many CMS regional offices are there?

Correct Answer
verified

The Medicare fee-for-service plan, referred to by Medicare as the __________, allows the beneficiary to choose any licensed physician certified by Medicare.

Correct Answer
verified

The modifier GZ is appended to procedure codes for noncovered Medicare services when

Correct Answer
verified

Under the Medicare program, a nonparticipating physician may not bill more than 115 percent of

Correct Answer
verified

Which of the following is considered the best defense under the Medicare Integrity Program?

Correct Answer
verified

Which part of Medicare covers influenza, pneumococcal polysaccharide vaccine, and hepatitis B virus vaccinations?

Correct Answer
verified

Medicare may classify conditions that are not covered as

Correct Answer
verified

Exam 9: Medicare

How many CMS regional offices are there?

Correct AnswerverifiedShow Answer

The Medicare fee-for-service plan, referred to by Medicare as the __________, allows the beneficiary to choose any licensed physician certified by Medicare.

Correct AnswerverifiedShow Answer

The modifier GZ is appended to procedure codes for noncovered Medicare services when

Correct AnswerverifiedShow Answer

Under the Medicare program, a nonparticipating physician may not bill more than 115 percent of

Correct AnswerverifiedShow Answer

Which of the following is considered the best defense under the Medicare Integrity Program?

Correct AnswerverifiedShow Answer

Which part of Medicare covers influenza, pneumococcal polysaccharide vaccine, and hepatitis B virus vaccinations?

Correct AnswerverifiedShow Answer

Medicare may classify conditions that are not covered as

Correct AnswerverifiedShow Answer

Correct Answer
verified

Correct Answer
verified

Correct Answer
verified

Correct Answer
verified

Correct Answer
verified

Correct Answer
verified

Correct Answer
verified