(for nimmo)

Question 1

Medicare _________ services are paid through a trust fund financed by a special form of Social Security tax on earnings.

		Part A
		Part B
		Part C
		Part D

4 points

Question 2

The _________ was signed in 2003 and became the largest increase in the Medicare program since its inception.

		Balanced Budget Act
		Medicare Modernization Act
		Benefits Improvement and Protection Act
		Health for All Act

4 points

Question 3

A _________ is a healthcare financing and delivery program that creates a financial incentive for the consumer to use a selected panel of preferred providers.

		HMO
		PPO
		POS
		DRG

4 points

Question 4

_________ is the most widely accepted coding methodology in the United States.

		RBRVS
		ICD
		CPT-4
		HCPCS

4 points

Question 5

_________ is the method used by the Health Care Financing Administration for health care providers and medical suppliers to code their professional services, procedures, and supplies in order to obtain reimbursement for Medicare outpatients.

		RBRVS
		ICD
		CPT-4
		HCPCS

4 points

Question 6

The Office of the Inspector General (OIG) reported an overall savings of more than _________ in a four year period (1997-200) after the Healthcare Fraud and Abuse Program was implemented in 1996.

		$20.5 billion
		$47.3 billion
		$10.7 billion
		$15.0 billion

4 points

Question 7

Medicare _________ primarily covers physician services, outpatient medical, surgical services, and independent laboratory services.

		Part A
		Part B
		Part C
		Part D

4 points

Question 8

Precertification, preregistration, and _________ are the most important concepts of accounts receivable.

		preauthorization
		data verification
		insurance verification
		authorization

4 points

Question 9

Medicare _________ services are financed by patient premiums and general federal tax revenues.

		Part A
		Part B
		Part C
		Part D

4 points

Question 10

Who are the beneficiaries of this 280% increase in GDP absorption by healthcare?

		patients
		caregivers and the corporations
		patients, providers and the community
		The corporations that made money proving health services

4 points

Question 11

What are the implications of the Medicare Modernization Act of 2003?

Question 12

To which department should the patient registration department report and why?

Question 13

(Chapters 4-5) Review the entire depth and breadth of the revenue cycle in fig. 5.1. Are there any elements that appear unnecessary or extraneous? Which elements take the most time for the organization? Which take the least? Why?