| Payment | Overview | Billing 101 |
|---|---|---|
|
payroll deductions
Medicare Part A is generally financed through...?
|
outpatient care
preventive services ambulance services durable medical equipment
What 4 services does Medicare part B cover?
|
Indicates services are medically necessary even beyond the soft cap limit of $2010
When and why do you add a KX modifier?
|
|
general tax revenues and
monthly premiums
Medicare Part B is generally financed through...?
|
per discharge payment system
For Medicare part A...the hospital gets re-imbursed when?
|
which service/discipline is provided
The codes: GP, GN, and GO indicate what?
|
|
$134
What is the standard monthly premium for Medicare part B coverage?
|
reduced by 2%
How much can payment to a hospital be reduced if they do not abide by the rules of Hospital Value Based Purchasing?
|
True
True or False?
In terms of CPT codes, supervised modalities are Untimed? |
|
False
Diagnosis Related Groups (DRGs)
True or False?
Medicare part A's Hospital IPPS is based on case mix groups (CMGs). |
MD approval or signature
actual medical diagnosis
When writing up a POC for a Medicare part B patient, the POC must include these 2 things...
|
8-22→ 1 unit, 23-37→ 2 units, 38-52→ 3 units
33+7=40 (3 billable units) Correctly bill 2 units to therapeutic exercise and 1 unit for the manual therapy
If you perform 33 minutes of therapeutic exercise and 7 minutes of manual therapy.......how many billable units?
|
|
$1340 deductible
100% of costs after deductible
In terms of Medicare part A hospital costs to the patient...for days 1-60, the patient pays____ and medicare pays____
|
Treatment of 2-4 patients performing the same or similar activities- divided treatment time by patients present
Describe group therapy.
|
neither therapist can bill for the full therapy session when co-treating
combined time billed between OT/PT should equal entire treatment session
Describe Co-treatment.
|
Support Us on Ko-fi