Medicare Uses Which of the Following to Determine Reimbursement for Outpatient

question 6

Multiple Choice

Medicare uses which of the following to determine reimbursement for outpatient claims?

• A) Procedure modifiers
• B) International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM)
• C) Healthcare Common Procedure Coding System (HCPCS)
• D) Diagnosis Related Groups (DRG)
• E) Ambulatory Payment Classification (APC)

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Definitions:

B2B

Business-to-Business, describing transactions or relationships between two companies, as opposed to between a company and individual consumers.

B2C

Business to Consumer, a sales model in which businesses sell products or services directly to consumers.

C2C

Consumer to Consumer, a business model that facilitates transactions between individuals, typically through an online platform.

G2C

Government to Citizen, a model of e-government where government services and information are directly available to citizens through electronic means.