Registered Health Information Administrator (RHIA) — Question 6

Currently, payment to the physician for outpatient surgery performed ona Medicare patient is based upon which prospective payment system?

Answer options

• A. set of categories.
• B. classification system.
• C. medical nomenclature.
• D. diagnosis listing.

Correct answer: C

Explanation

The correct answer is C, as payments for outpatient surgeries under Medicare are determined using a medical nomenclature system that categorizes procedures for reimbursement. Options A, B, and D do not accurately describe the specific system used for determining these payments.