Hcpcs Level Ii Coding |12 Questions| With Correct Answers.

Transitional pass-through payments {Ans: Temporary additional payment(s) (above the OPPS reimbursement rate) made for certain innovative medical devices, drugs, and biologicals provided to Medicare beneficiaries.}Temporary codes {Ans: are maintained by the CMS and other members of the HCPCS National Panel, independent of permanent HCPCS level II codes. Temporary codes allow payers the flexibility to establish codes that are needed before the next January 1 annual update. Temporary codes also serve the purpose of meeting short-time-frame operational needs of a particular payer.}Modifiers {Ans: Indicated the description of the service or procedure performed has been altered. HCPCS modifiers are reported as two-character alphabetic or alphanumeric codes.}Durable medical equipment, prosthetics, orthotics, and supplies (DMEPOS) dealers {Ans: Supply patients with DME. DMEPOS claims are submitted to DME Medicare administrative contractors (DME MACs) that replace durable medical equipment regional carriers (or DMERCs) that are awarded contracts by CMS. Each DME MAC covers a specific geographic region of the country and is responsible for processing DMEPOS claims for its specific region.}Permanent national codes {Ans: Are maintained by the HCPCS National Panel which is composed of representatives from the Blue Cross/Blue Shield Association (BCBSA), the health Insurance Association of America (HIAA) and