Rbrvs system Study guides, Class notes & Summaries

Healthcare Regulation -ANSWER- Regulation is "controlling human or societal behavior by rules or restrictions." Many forms, examples include Government imposed legal restrictions Self-regulation by a trade organization Social regulation (social norms) Market regulation Healthcare is regulated by fed, state and private entities. Drivers of Health Care Regulation -ANSWER- Cost Quality Access Cost has historically been the most important driver of regulation History of Regulation -...

RBRVS correct answersResource-Based Relative Value Scale RBRVS System correct answersEstablished by Medicare to reimburse physicians based on CPT code submitted for reimbursement RVU correct answersEach CPT code has an assigned relative value unit which, when multiplied by conversion factor and a geographic region allowance , creates the reimbursement for the medical service the CPT code represents RVU Components correct answers1) Physician work- time, skill, training, and intensity of ...

Reimbursement Methodology AHIMA Exam Questions With 100% Correct Answers The financial manager of the physician group practice explained that the healthcare insurance company would be reimbursing the practice for its treatment of the exacerbation of congestive heart failure that Mrs. Zale experienced. The exacerbation, treatment, and resolution covered approximately five weeks. The payment covered *All The Services That Mrs. Zale Incurred During The Period*. What method of reimbursement wa...

COC 2020 - FINAL EXAM QUESTIONS W/O CODES (SET 6) | Questions with 100% Correct Answers | Latest Update 2024 | Verified Which service is reimbursed based on the APC payment method? - Patient X-ray of left foot in the outpatient department Rationale: The APC system is a payment methodology for outpatient, or ambulatory, facility services. It does not include the professional component of ambulatory care, which is paid under the Resource-Based Relative Value Scale (RBRVS) methodology. Also ...

MHA 710 - Healthcare Economics - Exam 3 Questions and Answers | Latest Version | 2024/2025 | Already Passed 2. If the market were perfectly competitive instead of dominated by a monopsonist, what would the equilibrium wage and level of employment be? a. W1 and E1 b. W2 and E0 c. W0 and E0 d. W0 and E1 e. W0 and E2 a. W1 and E1 A classification system for physicians' services, using a weighting scheme that reflects the relative value of the various services performed. Develope...

Which service is reimbursed based on the APC payment method? correct answersPatient X-ray of left foot in the outpatient department Rationale: The APC system is a payment methodology for outpatient, or ambulatory, facility services. It does not include the professional component of ambulatory care, which is paid under the Resource-Based Relative Value Scale (RBRVS) methodology. Also it does not include services and procedures that require inpatient care and/or procedures paid under an existing f...

The health benefits program run by the Department of Veterans Affairs (VA) that helps eligible beneficiaries pay the cost of specific healthcare services and supplies is the (give acronym)________________. - CHAMPVA There are resources for patients who have questions on health insurance coverage through the Patient Protection and Affordable Care Act, such as ____________________. - Affordable Care Act Navigators An alphanumeric number issued by the insurance company giving approval of a pr...

COC 2020 - FINAL EXAM QUESTIONS W/O CODES (SET 6) Which service is reimbursed based on the APC payment method? - Patient X-ray of left foot in the outpatient department Rationale: The APC system is a payment methodology for outpatient, or ambulatory, facility services. It does not include the professional component of ambulatory care, which is paid under the Resource-Based Relative Value Scale (RBRVS) methodology. Also it does not include services and procedures that require inpatient ...

2. If the market were perfectly competitive instead of dominated by a monopsonist, what would the equilibrium wage and level of employment be? a. W1 and E1 b. W2 and E0 c. W0 and E0 d. W0 and E1 e. W0 and E2 - ANSWER > a. W1 and E1 A classification system for physicians' services, using a weighting scheme that reflects the relative value of the various services performed. Developed for Medicare by a group of Harvard researchers, it considers time, skill, and overhead cost required for...

CCA Exam Prep Domain 2 Questions & Answers 2023/2024 Allowable fee - ANSWER-Average or maximum amount the third-party payer will reimburse providers for the service Block grant - ANSWER-It is a fixed amount of money given or allocated for a specific purpose. Ex. Medicare's payment system for home health services are consolidated into the single payment Capitated payment method - ANSWER-It is a method of payment for health services in which the third-party payer reimburses providers a...