OCS Medical Ophthalmic Coding Specialist
Question: 38 Which of the following is always the payer of last resort? A. Medicare B. Medicaid C. Worker’s Com pensation Insurance D. Commercial Insurance Answer: B Medicaid is always the payer of last resort. This means that if a patient has more than one type of insurance coverage, and one of the insurances is Medicaid, then the biller must bill the other insurance first and Medicaid second. Medicaid will never pay first, if the patient has more than one type of insurance coverage. Question: 39 HCPCS J-Codes are used to represent: A. Drugs administered by methods other than the oral method B. Durable medical equipment C. Dental procedures not found in the CPT manual D. Temporary national codes for Medicare Answer: A HCPCS J-Codes are used to represent drugs administered by methods other than the oral method. The J-codes are used to bill drugs administered to the patient, while in the office. Other sections in the HCPCS manual represent durable medical equipment and temporary national codes. Dental procedures are not represented at all in the CPT manual, and are reported with D-codes. Question: 40 What does HIPAA stand for? A. Health Insurance Portability and Accountability Act B. Health Insurance Protection and Accountability Association
C. Health Insurance Post-Payment Auditing Association D. Health Insurance Accountability and Auditing Act
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- Fall '20
- Health Insurance Portability and Accountability Act, RBRVS calculation