CPB (Certified Professional Biller) Certification 2025 – 400 Free Practice Questions to Pass the Exam

To be recognized as a State Licensed Medicare-certified supplier of surgical healthcare services, the entity must be an Ambulatory Surgical Center (ASC). ASCs are specialized facilities that provide surgical services to patients on an outpatient basis.

Acceptance of assignment on Medicare claims is a key requirement for ASCs, as it signifies their agreement to accept the payment rates established by Medicare as full payment for services rendered. This requirement is crucial because it ensures that the facility adheres to the regulations surrounding Medicare reimbursement, promoting compliance and ensuring patients are not billed more than the allowed amounts.

In contrast, the other options focus on different aspects of Medicare payments and services. The Ambulatory Surgical Center Payment Rate outlines the reimbursement structure, while the Ambulance Fee Schedule pertains to ambulance services, and Allowed Charge relates to maximum reimbursement levels rather than the entity’s certification and qualification as a surgical healthcare provider. Thus, recognizing the specific qualifications of ASCs in terms of Medicare assignment is vital for understanding their role in the healthcare system.