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NEW QUESTION # 114
What does it mean by erythr?
- A. yellow
- B. red
- C. green
- D. blue
Answer: B
NEW QUESTION # 115
What are black box edits?
- A. Published code edits, which were discontinued in 2000.
- B. Published code edits, which were discontinued in 2001.
- C. Nonpublished code edits, which were discontinued in 2001.
- D. Nonpublished code edits, which were discontinued in 2000.
Answer: D
NEW QUESTION # 116
EPSDT
- A. Electronic Remittance Advice
- B. Employee Retirements income security Act of 1974
- C. Early and Periodic screening, diagnostic, and treatment
- D. External Quality Review Organization
Answer: C
NEW QUESTION # 117
EQRO
- A. Electronic Remittance Advice
- B. Employee Retirements income security Act of 1974
- C. External Quality Review Organization
- D. First Look Analysis for Hospital Outlier Monitoring
Answer: C
NEW QUESTION # 118
What does it mean by cry?
- A. cool
- B. warm
- C. hot
- D. cold
Answer: D
NEW QUESTION # 119
ERA
- A. False Claims Act
- B. Employee Retirements income security Act of 1974
- C. Electronic Remittance Advice
- D. First Look Analysis for Hospital Outlier Monitoring
Answer: C
NEW QUESTION # 120
CLIA
- A. Clinical Laboratory Improvement Act
- B. UB04 Claim used by institutional and other selected providers to bill payers
- C. Centers of Medicare and Medicaid Services
- D. Competitive Medical Plan
Answer: A
NEW QUESTION # 121
EOB
- A. Early and Periodic screening, diagnostic, and treatment
- B. Explanation of Benefits
- C. Exclusive provider organization
- D. External Quality Review Organization
Answer: B
NEW QUESTION # 122
Adverse Effect is also called adverse reaction; the appearance of a pathologic condition due to ingestion r exposure to a chemical substance properly administered or taken.
- A. FALSE
- B. TRUE
Answer: B
NEW QUESTION # 123
CHAMPUS stands for Civilian Health and Medical Program of Veterans Affairs.
- A. FALSE
- B. TRUE
Answer: B
NEW QUESTION # 124
ABN stands for Advance Beneficiary Notice.
- A. FALSE
- B. TRUE
Answer: B
NEW QUESTION # 125
The medical prefix "infra-" means:
- A. same
- B. between
- C. within, into
- D. within, into
Answer: C
NEW QUESTION # 126
Allowable Charge
- A. The Maximum amount the payer will reimburse for each procedure or service, according to the patients policy.
- B. DRG system adapted for use by thirdparty payers to reimburse hospitals for inpatient care provided to nonMedicare beneficiaries (e.g. Blue Cross Blue Shield, commercial health plans, TRICARE); DRG assignment is based on intensity of resources.
- C. Adopted by Medicare in 2008 to reimburse hospitals for inpatient care provided to Medicare beneficiaries; expanded original DRG system (based on intensity of resources) to add two subclasses to each DRG that adjusts Medicare inpatient hospital reimbursement rates for of mortality (ROM) (likelihood of dying); each subclass, in turn, is subdivided into four areas: (1) minor, (2) moderate, (3) major, (4) extreme.
- D. See limiting charge; maximum fee a physician may charge.
Answer: D
NEW QUESTION # 127
What does APC stand for?
- A. Advanced Patient Classification
- B. Ambulatory Payment Classification
- C. Advanced Payment Classification
- D. Ambulatory Patient Classification
Answer: B
NEW QUESTION # 128
GEP stands for General Enrollment Period.
- A. FALSE
- B. TRUE
Answer: B
NEW QUESTION # 129
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