Exam Preview

2018 Coding and Reimbursement Update

---

1.  PQRS: Was retired on December 31, 2016 Is being retired on December 31, 2017 Is being retired on December 31, 2018 Is being retired on December 31, 2019

2.  MIPS stands for: Merit Insurance Payment System Managed Incentive Procedure System Merit-Based Insurance Payment System Merit Based Incentive Payment System

3.  The expiration date on the most current Advanced Beneficiary Notice Is: March 2006 March 2011 March 2020 March 2025

4.  The effective date of the current Advanced Beneficiary Notice is: April 1, 2003 June 21, 2011 June 21, 2017 March 1, 2020

5.  Advanced Beneficiary Notices are utilized and applicable for: Traditional Medicare Medicare Part C (Advantage) Private Insurance All of the above

6.  TPA stands for: Third-payer administrator Third-party act Third-party audiologist Third-party administrator

7.  MIPS consolidates the following quality reporting programs: HIPAA, HCPCS, and ICD-10 HIPAA, Red Flag Rules, and Stark Laws PQRI and ROI PQRS, VBPM, and MU

8.  What is the PQRS penalty for 2018 for failure to appropriately report quality measures in 2016? 1 percent 2 percent 6 percent 9 percent

9.  HCPCS codes are used to report: Diagnostic procedures Hearing aid and auditory prosthetic device items and services Diagnosis codes All of the above

10.  ICD 10 codes are updated on which date each year: January 1 July 1 October 1 December 1