Chapter 1

Question 1

RBRVS

Answer 1

Resource based relative value scale

Question 2

ABN

Answer 2

Standardized form explains to pt that Medicare may deny services.

Creates a paper trail that CMS requires before the provider can bill the pt.

Question 3

HIPAA

Answer 3

Health insurance portability and Accountability act of 1996

Question 4

PHI

Answer 4

Protected health information

Question 5

OIG

Answer 5

Office of inspector general

OIG releases a work plan outlining its priorities for the fiscal year ahead.

Question 6

AMA

Answer 6

American medical association

Question 7

ASC

Answer 7

Ambulatory surgical center

Question 8

MS-DRG

Answer 8

Medicare-severity diagnosis related group

Question 9

The amount on an ABN should be within how much of the cost to the patient

Answer 9

$100.00 or 25% of cost

Question 10

What OIG document should a provider review for potential problem areas that will receive special scrutiny in the up coming year.

Answer 10

OIG work plan

Question 11

The Main function of the urinary system is

Answer 11

The excretion of metabolic waste, along with fluid and electrolyte balance

Question 12

Key structures of the urinary system

Answer 12

Kidneys, ureters, bladder, and urethra

Question 13

What are the components of the central nervous system (CNS)

Answer 13

The brain and spinal cord