RCC Medicare & Payer-Specific Radiology Billing

Question 1

Medicare's facility fee schedule for outpatient radiology is governed by which system?

Accepted Answer

OPPS/APC

Answer

RBRVS/MPFS

Answer

DRG/IPPS

Answer

TRICARE fee schedule

Question 2

Which Medicare form is used to submit outpatient hospital radiology claims?

Accepted Answer

CMS-1450 (UB-04)

Answer

CMS-1500

Answer

ADA Dental Claim

Answer

HCFA-1490

Question 3

What is the Medicare global period for most radiology procedures?

Accepted Answer

0 days (XXX indicator)

Answer

10 days

Answer

90 days

Answer

000 days

Question 4

Medicare requires a written order for which imaging modality before services are rendered?

Accepted Answer

All advanced imaging under AUC program

Answer

Only X-rays

Answer

Only MRI studies

Answer

All imaging over $500

Question 5

Which modifier signals that a service was performed in a Medicare-approved Ambulatory Surgery Center?

Accepted Answer

Modifier SG

Answer

Modifier 79

Answer

Modifier 24

Answer

Modifier 58

Question 6

Under Medicare, which component of a radiology service is billed by the radiologist personally?

Accepted Answer

Professional component (Modifier 26)

Answer

Technical component (Modifier TC)

Answer

Global service

Answer

Facility fee