When should I submit my Medicare physician fee schedule claim?
You don’t need to wait to submit your claims. The CY 2021 Medicare Physician Fee Schedule Final Rule was placed on display at the Federal Register on December 2, 2020. This final rule updates payment policies, payment rates, and other provisions for services furnished under the Medicare Physician Fee Schedule (PFS) on or after Jan. 1, 2021.
What is a Medicare fee schedule?
Fee Schedules - General Information | CMS A fee schedule is a complete listing of fees used by Medicare to pay doctors or other providers/suppliers. This comprehensive listing of fee maximums is used to reimburse a physician and/or other providers on a fee-for-service basis.
What are the different types of Medicare payment schedules?
3) Fee schedule 4) Cost-based Price-based A hospital that treats a high-percentage of low-income patients receives an increased Medicare payment, also known as a: 1) IME adjustment 2) Outlier 3) DSH adjustment
What is the CY 2020 Medicare physician fee schedule final rule?
The CY 2020 Medicare Physician Fee Schedule Final Rule was placed on display at the Federal Register on November 1, 2019. This final rule updates payment policies, payment rates, and other provisions for services furnished under the Medicare Physician Fee Schedule (PFS) on or after Jan. 1, 2020.
Which of the following actions is appropriate for a medical administrative assistant to take before scheduling a patient for surgery?
Which of the following actions is appropriate for a medical administrative assistant to take when providing preoperative instructions to a patient who is anxious? Allow extra time to reinforce the instructions.
Which of the following is an OSHA regulation that must be reviewed yearly to ensure compliance?
110 Cards in this SetOSHA regulation that must be reviewed yearly to ensure compliance?Blood pathogens standardWhich of the following should an MAA explain to new patients prior to an initial visit?The procedure to cancel an appointment108 more rows
Which of the following is the best financial approach for a CMAA to take to minimize collection accounts?
CMAA Practice Exam 3TermDefinitionWhich of the following is the best financial approach for CMAA to take to minimize collection amountsMaintain current patient information (insurance, occupation, etc.)Which of the following is the purpose of the matrixTo indicate when a provider is unavailable to treat patients48 more rows
When adding medical records to a patient's chart the medical assistant should take which of the following actions?
Before adding medical records to a patient's chart the medical administrative assistant should take which of the following actions? Ensure the provider has initialed reports.
What regulation requires employers to identify evaluate and implement safer medical devices?
Because occupational exposure to bloodborne pathogens from accidental sharps injuries in healthcare and other occupational settings continues to be a serious problem, Congress required modification of OSHA's Bloodborne Pathogens standard (29 CFR 1910.1030) to set forth in greater detail (and make more specific) OSHA's ...
Which of the following is a requirement of the Occupational Safety and Health Administration OSHA Bloodborne pathogens standard?
OSHA standards for bloodborne pathogens (BBP, 29 CFR 1910.1030) and personal protective equipment (PPE, 29 CFR 1910 Subpart I) require employers to protect workers from occupational exposure to infectious agents.
Which of the following is the most efficient method for a CMAA to collect payment for services?
Practice flashcards for examTermDefinitionWhich of the following is the most efficient method for a CMAA to collect payment?Collect dues at the time of the patient visitA CMAA should take which of the following actions to be in compliance with OSHAParticipate in training concerning infection control48 more rows
Which of the following actions is appropriate for a CMAA to take when processing incoming mail?
CMAA test reviewQuestionAnswerAfter deactivating the security system, which of the following actions should a MAA take next when opening the office in the morning?Access the answering serviceWhich of the following actions is appropriate for the MAA to taker when processing incoming mail?Shred unwanted mail53 more rows
When scheduling an inpatient admission which of the following steps should a CMAA take first?
CMAA EXAM REVIEWQuestionAnswerWHEN SCHEDULING AN INPATIENT ADMISSION, WHAT STEP SHOULD A MAA TAKE FIRST?OBTAIN THE PROVIDERS ORDERWHAT DESCRIBES AN URGENT REFERRAL?IT TAKES 24 HOURS TO RECEIVE APPROVAL AND IS FOR A NON- LIFE THREATENING CONDITION139 more rows
Which of the following is an appropriate action to take when updating patient demographic?
which is an appropriate action to take when updating patient demographic information? make a new entry in the EMR with the correct information. when a medical administrative assistant makes arrangements for a staff member to attend a conference, which is the most important for keeping the office informed?
What is the proper way to make changes to a written health record?
Proper Error Correction ProcedureDraw line through entry (thin pen line). Make sure that the inaccurate information is still legible.Initial and date the entry.State the reason for the error (i.e. in the margin or above the note if room).Document the correct information.
When a medical administrative assistant transmit a medical record which of the following documents is required?
CMAA Practice Exam 10TermDefinitionWhen a medical administrative assistant transmits a medical record, which of the following documents is required?Release of information authorizationWhat is the purpose of a matrix?To indicate when the provider is unavailable to treat patients48 more rows
What is CMS continuing efforts to improve payment within traditional fee-for-service Medicare for chronic care management and similar care management
CMS is continuing efforts to improve payment within traditional fee-for-service Medicare for chronic care management and similar care management services to accommodate the changing needs of the Medicare patient population. CMS is finalizing its proposals to adopt CPT codes for CY 2018 for reporting several care management services currently reported using Medicare G-codes. Also we are clarifying a few policies regarding chronic care management in this final rule. We are committed to working with stakeholders on any further refinements to the code set that may be warranted, especially describing the professional work involved in caring for complex patients in other clinical contexts.
What is CMS finalizing?
CMS is finalizing an improvement in the way physician fee schedule rates are set that will positively impact office-based behavioral health services with a patient. The final policy will increase payment for these important services by better recognizing overhead expenses for office-based face-to-face services with a patient.
What is the PFS update for 2018?
The overall update to payments under the PFS based on the finalized CY 2018 rates will be +0.41 percent. This update reflects the +0.50 percent update established under the Medicare Access and CHIP Reauthorization Act (MACRA) of 2015, reduced by 0.09 percent, due to the misvalued code target recapture amount, required under the Achieving a Better Life Experience (ABLE) Act of 2014.
When did Medicare Part B change to biosimilar?
Effective January 1, 2018 , newly approved biosimilar biological products with a common reference product will no longer be grouped into the same billing code.
Is CMS revising payment for chronic care management?
CMS is finalizing the proposal to revise payment for chronic care management in RHCs and FQHCs, and establish requirements and payment for RHCs and FQHCs furnishing general behavioral health integration (BHI) services and psychiatric collaborative care model (CoCM) services. Effective January 1, 2018, RHCs and FQHCs will be paid for CCM, general BHI, and psychiatric CoCM using two new billing codes created exclusively for RHC and FQHC payment. This payment would be in addition to the payment for an RHC or FQHC visit.
What is a prospective payment system?
3) A prospective payment system that reimburses hospitals for inpatient stays based on related diagnoses.
How many employees are in a large group health plan?
Large group health plans (LGPHs) are provided by employers who have over 100 employees or a multi-employer plan in which at least one employer has: 1) 50 or more full- or part-time employees. 2) 75 or more full- or part-time employees . 3) 100 or more full- or part-time employees .
What is prospective cost based rate?
Prospective cost-based rates are based on: 1) Reported health care costs from which a predetermined per diem rate is determined. 2) Estimated health care costs from which a retrospective per diem rate is determined. 3) Rates established by the payer after services are provided to a particular category of patient.