Exam 11: Hospital Medical Billing

The Ambulatory Payment Classification (APC) system bases payments on:

Name the three major categories in which revenue codes are grouped.

The majority of hospital reimbursement comes from patients.

________ or admission is the process of collecting a patient's personal information, including insurance information, and entering it into the hospital's health information system (HIS).

To prevent a cash flow problem, hospital records should be completed and signed no later than:

The number of form locators on the UB-04 claim form is:

What are the three basic reimbursement methods for inpatient hospital services?

The type of care provided in a hospital that does NOT require the patient to stay overnight is known as outpatient or ________ care.

The four main sections of the UB-04 claim form include all of the following EXCEPT:

The hospital database that contains information on all admitted patients is the ________ index.

Codes that identify special circumstances, events, or room accommodations that may affect the payer's processing of the bill are called:

A charge description master includes all of the following information EXCEPT:

A patient control number (PCN) is a unique identifier assigned to each hospital patient at the time of:

On the UB-04, codes that give the number of services and benefit days for Medicare patients are the:

Services covered under the APC system include all of the following EXCEPT:

In urgent care situations, there is no risk of the patient losing life or limb.

If the time that a patient was admitted to the hospital is unknown, which code would be entered in form locator 13?

The method of reimbursement that pays hospitals a fixed rate per day for all services provided is:

Explain the Healthcare Cost and Utilization Project's rationale behind present on admission (POA) indicators.

The prospective payment system (PPS) is NOT widely used as a reimbursement method for inpatient care.