Question 1

Describe when a veteran's dependents may receive benefits from the CHAMPVA program.

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Question 2

The administrative simplification provisions of the Health Insurance Portability and Accountability Act of 1996 (HIPAA) required adoption of two types of code sets for encoding data elements. Describe the large code sets.

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Question 3

List the code sets proposed by HIPAA.

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Question 4

Define severity of illness, and summarize the basis of severity of illness scores.

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Question 5

Summarize the services that are reimbursed by the Medicare Resource Based Relative Value System (RBRVS), now called the Physician Fee Schedule (PFS).

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Question 6

Summarize disability insurance, stating the percentage of income covered and the waiting period.

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Question 7

Explain why case-mix analysis should be performed by health care facilities.

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Question 8

Errors in medical care that are clearly identifiable, preventable, and serious in their consequences for patients are referred to as _____________.

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Question 9

State the name of the organization that developed the Systematized Nomenclature of Pathology (SNOP) and the purpose of the nomenclature.

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Question 10

Define and state the purpose of an APC. Describe how the APC payment rate is applied to payment.

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Question 11

Describe the activities that are coded by SNOMED.

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Quiz 10: Introduction to Coding and Reimbursement