Certified Revenue Cycle Representative (CRCR) Practice Exam

Medicare patients are NOT required to produce a physician order to receive which of these services?

1. Diagnostic Mammography, flu vaccine, or B-12 shots

2. Diagnostic Mammography, flu vaccine, or pneumonia vaccine

3. Screening Mammography, flu vaccine or pneumonia vaccine

4. Screening Mammography, flu vaccine or B-12 shots

The correct answer is: Screening Mammography, flu vaccine or pneumonia vaccine

The correct answer highlights that Medicare patients do not need a physician order for specific preventive services to help reduce barriers to receiving necessary care. Screening mammography is one of these preventive services designed to detect breast cancer early, where a physician order is not a prerequisite for patients aged 35 and older. Additionally, the flu vaccine is covered under Medicare without requiring a physician's order, aligning with the program's preventive care focus. Pneumonia vaccines, too, do not necessitate an order for Medicare beneficiaries, encouraging widespread vaccination against pneumonia in at-risk populations. Understanding that the other options include services that do require a physician order can clarify why they are incorrect. For instance, diagnostic mammography, which is typically ordered when there is a concern regarding potential breast cancer, needs a physician referral or order. B-12 shots generally require a physician's order depending on the medical necessity, which also excludes that option from consideration in this question.