1.
Medicare considers a patient to have a mobility-related activity of daily living (MRADL) limitation when:
Correct Answer
D. All of the above.
Explanation
The correct answer is "All of the above." This means that Medicare considers a patient to have a mobility-related activity of daily living (MRADL) limitation if they are unable to complete an MRADL in a reasonable time frame, if they are unable to complete an MRADL because of a risk of morbidity or mortality, or if they are unable to complete an MRADL entirely. In other words, any of these conditions would qualify as a mobility-related activity of daily living limitation according to Medicare.
2.
When documentation in the face-to-face rules out the use of an MWC, the patient automatically qualifies for a power wheelchair.
Correct Answer
B. False
Explanation
The statement is false because it states that when documentation in the face-to-face rules out the use of an MWC (Motorized Wheelchair), the patient automatically qualifies for a power wheelchair. This is incorrect as the statement implies that the patient automatically qualifies for a power wheelchair, which is not true. The qualification for a power wheelchair is determined by various factors, including the patient's medical condition, mobility needs, and the recommendation of a healthcare professional.
3.
Which of the following options are separately reimbursable on a Group 1 or Group 2 PWC with medical necessity documentation?
Correct Answer
D. Elevating Leg Rests and Swing-away Joy stick.
Explanation
Elevating Leg Rests and Swing-away Joy stick are separately reimbursable on a Group 1 or Group 2 PWC with medical necessity documentation. This means that if a patient requires these specific accessories due to their medical condition, they can be reimbursed separately from the wheelchair itself. The other options, Seat Belt and All of the above, are not separately reimbursable on their own.
4.
Which of the following practitioners can order a PWC?
Correct Answer
A. All except a Therapist.
Explanation
All of the practitioners listed, including physicians, physician assistants, and nurse practitioners, have the authority to order a PWC (Power Wheelchair). However, therapists do not have the authority to order a PWC. Therefore, the correct answer is "All except a Therapist."
5.
The ordering practitioner who performed the face-to-face mobility exam must complete the 7 element order.
Correct Answer
A. True
Explanation
The ordering practitioner who performed the face-to-face mobility exam must complete the 7 element order. This means that the practitioner who conducted the mobility exam is responsible for filling out all seven elements of the order. This ensures that all necessary information is provided for the mobility exam and helps to ensure accurate and appropriate care for the patient.
6.
When a provider provides the ordering practitioner with a template for the 7 element order, the provider can complete the following:
Correct Answer
D. None of the Above.
Explanation
The correct answer is "None of the Above" because when a provider provides the ordering practitioner with a template for the 7 element order, the provider can complete other elements such as the date of the order, the specific test or procedure being ordered, any relevant clinical information, and the provider's signature or electronic equivalent. The patient name, legible identifier of the ordering practitioner, and patient's address are not part of the 7 element order template.
7.
In most Round 2 Competitive Bid Areas, which PWC base code is the most profitable?
Correct Answer
A. K0816
Explanation
The most profitable PWC base code in most Round 2 Competitive Bid Areas is K0816.
8.
Medicare requires additional documentation to provide a Group 2 PWC over a Group 1 PWC.
Correct Answer
B. False
Explanation
Medicare does not require additional documentation to provide a Group 2 PWC over a Group 1 PWC. The statement is false. Medicare's coverage criteria for power wheelchairs are based on the beneficiary's medical condition and functional needs, not on the specific group classification of the wheelchair. Therefore, the documentation requirements are the same regardless of whether it is a Group 1 or Group 2 PWC.
9.
Which of the following factors should be considered when providing an appropriate PWC?
Correct Answer
D. All of the above.
Explanation
All of the factors mentioned - patient preference, environment where the PWC will be used, and provider selection - should be considered when providing an appropriate PWC. Patient preference is important to ensure that the PWC meets the individual's specific needs and preferences. The environment where the PWC will be used is crucial to determine the type and features of the PWC that will be suitable and safe. Provider selection is significant to ensure that the PWC is provided by a reputable and knowledgeable source, ensuring proper guidance and support. Therefore, considering all of these factors is essential in providing an appropriate PWC.
10.
Medicare will pay for repairs to a PWC when:
Correct Answer
B. The Patient owns the PWC after the 13th month capped rental payment.
Explanation
Medicare will pay for repairs to a PWC when the patient owns the PWC after the 13th month capped rental payment. This means that Medicare will only cover repairs once the patient has completed the 13-month rental period and officially owns the PWC. Prior to this, Medicare does not cover repairs.