How Does Medicare Set Allowable Charges for Services Under Part

question 6

Multiple Choice

How does Medicare set allowable charges for services under Part B using resource-based relative value systems (RBRVS) ?

• A) Based on the usual, customary and reasonable charge in the geographic area
• B) Using base units multiplied by time units and a factor to adjust for geographic location
• C) Based on the education of the practitioner who performs the procedure with a geographic adjustment
• D) Based on the amount of work for each procedure with adjustments for overhead and malpractice insurance

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Definitions:

Hip Fracture

A break in the upper quarter of the femur (thigh) bone, often due to falls or trauma, significantly impacting mobility and quality of life, especially in the elderly.

Indwelling Urinary Catheter

A catheter that remains inserted in the bladder for continuous urine drainage, commonly used for patients who cannot control urination.

Voided

The act of urinating or expelling waste liquid from the bladder.

Drinking Water

Water that is safe to drink or to use for food preparation.