Question

1. What is the control mechanism the government uses on Medicare payments to physicians to keep overall expenditures within spending targets.

Sustainable growth rate

Two midnight rule

Three midnight rule

Medical necessity

2. The number of APCs per encounter for a single patient under the Hospital Outpatient Prospective Payment Systems (HOPPS) is limited to 10.

True

False

3. Payments to facilities are adjusted to reflect differences in labor expenses using this?

PE

CPI

GPCI

Wage Index

4.Which element of the RVU accounts for the costs of running an office, such as office rent, wages of non-physician personnel, and supplies and equipment?

Work value

Malpractice expenses

Lenth of the physical exam

Practice expenses

Answer 1

1answer) Conversion factor
2answer) False

3answer) GPCI

4answer) Practice expenses