Exam Preview for 22277: Reimbursement and Bone Anchored Systems Mar

Reimbursement and Bone Anchored Systems

Please note: exam questions are subject to change.

1. The three keys of healthcare reimbursement are CPT®, HCPCS and Diagnosis HOPPS, IPPS and Physician Fee Schedule Coding, Coverage and Payment Contracts, exclusions and riders
2. CPT® codes are maintained by: The Centers for Medicare and Medicaid Services (CMS) Internal Revenue Service (IRS) American Medical Association (AMA) American College of Surgeons (ACS)
3. This code is used to report the surgical implantation of a bone anchored hearing system when a mastoidectomy is not performed: 69718 99213 69714 L8693
4. HCPCS codes are maintained by: The Centers for Medicare and Medicaid Services (CMS) Internal Revenue Service (IRS) American Medical Association (AMA) American College of Surgeons (ACS)
5. In the event that a provider needs to switch out a patient’s bone anchored hearing implant system abutment, they would use this code to report the replacement abutment: 69718 99213 69714 L8693
6. The circumstances under which a payer will reimburse a provider for services, procedures, devices, drugs, etc is commonly referred to as: Coding Coverage Payment Exclusions
7. Medicare revised their definition of ______ which clarifies their coverage of bone anchored hearing implant systems as a prosthetic device. Hearing aid DME Cochlear Implants Audiology
8. This is the methodology Medicare uses to reimburse hospital outpatient departments: Ambulatory Payment Classification (APC) Inpatient Hospital Prospective Payment System (IPPS) DMEPOS Physician Fee Schedule
9. CPT® codes 69714 – 69718 map to this classification for Medicare hospital outpatient department reimbursement: APC 425 HCPCS L8691 APC 100 Physician Fee Schedule
10. Medicare reimburses Ambulatory Surgery Centers _____ versus what they reimburse hospital outpatient departments for procedure 69714. The same amount A greater amount A lesser amount $1000.00