Exam Preview for 40889: Understanding Insurance Coverage of Replace

Understanding Insurance Coverage of Replacement Processors

Please note: exam questions are subject to change.

1. Which of the following is NOT an acceptable validation for a replacement sound processor? Demonstrated hearing performance improvement Smaller sound processor Current device is no longer repairable by Cochlear Current device is lost or has been stolen
2. For the change in process, which of the following are now required pieces of documentation clinicians will need to provide for a replacement sound processor to be approved by insurance? Letter of medical necessity Order form Clinical chart note and prescription Copy of recipients insurance information
3. What percentage of recipients in the U.S. currently have a sound processor that is retired (Nucleus, Kanso, Baha 5, Baha 5 Power or older)? 30% 40% 50% 60%
4. Which of the following is NOT a reason clinical documentation is a crucial aspect of healthcare? Legal and regulatory compliance Patient care and safety Revenue integrity Patient satisfaction survey scores
5. For Medicare, typical coverage for a replacement sound processor is based on which of the following? End of useful life (5 years) Recipient would like a new color End of useful life (3 years) Recipient prefers a different wearing option