Question 1

The number assigned to a patient upon admission to the hospital is the ________ number.

Accepted Answer

The answer of The number assigned to a patient upon...

Question 2

Match the following
-Code that identifies services and benefit days for Medicare patients

Accepted Answer

A)  condition code 
B)  value code 
C)  revenue code 
D)  per diem 
E)  occurrence code
F) type of bill code
G) source of admission code
H) type of admission code
I) fee for service
J) prospective payment system (PPS) 
A)  condition code 
B)  value code 
C)  revenue code 
D)  per diem 
E)  occurrence code
F) type of bill code
G) source of admission code
H) type of admission code
I) fee for service
J) prospective payment system (PPS)

Question 3

What are the four sections of the UB-04 claim form?

Accepted Answer

The four sections are patient

Question 4

On the UB-04, codes that identify the department that supplied the services are the:

Accepted Answer

A)  CPT codes. 
B)  ICD-10-CM codes. 
C)  revenue codes. 
D)  value codes. 
A)  CPT codes. 
B)  ICD-10-CM codes. 
C)  revenue codes. 
D)  value codes.

Question 5

DRG classification takes into account all of the following criteria EXCEPT:

Accepted Answer

A)  age and sex of the patient. 
B)  social status and family support. 
C)  comorbidity and complications. 
D)  principal and secondary diagnoses. 
A)  age and sex of the patient. 
B)  social status and family support. 
C)  comorbidity and complications. 
D)  principal and secondary diagnoses.

Question 6

The DRG system categorizes patients (cases) who are medically related with respect to diagnosis, treatment, and length of stay.

Accepted Answer

A) True 
 B)False

Question 7

In form locator 15 on the UB-04 claim form, the codes for Physician Referral, HMO Referral, and Transfer from a skilled nursing facility (SNF) represent:

Accepted Answer

A)  admission source codes. 
B)  discharge status codes. 
C)  admission type codes. 
D)  condition codes. 
A)  admission source codes. 
B)  discharge status codes. 
C)  admission type codes. 
D)  condition codes.

Question 8

What is meant by inpatient care?

Accepted Answer

Inpatient care refer

Question 9

Match the following
-Code that describes the accident or mishap responsible for the patient's admission to the hospital and the date

Accepted Answer

A)  condition code 
B)  value code 
C)  revenue code 
D)  per diem 
E)  occurrence code
F) type of bill code
G) source of admission code
H) type of admission code
I) fee for service
J) prospective payment system (PPS) 
A)  condition code 
B)  value code 
C)  revenue code 
D)  per diem 
E)  occurrence code
F) type of bill code
G) source of admission code
H) type of admission code
I) fee for service
J) prospective payment system (PPS)

Question 10

When using a FOUR-digit Medicare "type of bill" code in form locator 4, the bill classification (type of care) is represented by the:

Accepted Answer

A)  first digit. 
B)  second digit. 
C)  third digit. 
D)  fourth digit. 
A)  first digit. 
B)  second digit. 
C)  third digit. 
D)  fourth digit.

Question 11

The four sections of the UB-04 claim form include information on:

Accepted Answer

A)  patient, billing, payer, and diagnosis. 
B)  patient, physician, procedures, and diagnosis. 
C)  patient, prognosis, diagnosis, and facility. 
D)  patient, billing, payer, and physician. 
A)  patient, billing, payer, and diagnosis. 
B)  patient, physician, procedures, and diagnosis. 
C)  patient, prognosis, diagnosis, and facility. 
D)  patient, billing, payer, and physician.

Question 12

Which of the following codes would be entered to report that the patient is female in form locator 11 on the UB-04?

Accepted Answer

A)  1 
B)  2 
C)  M 
D)  F 
A)  1 
B)  2 
C)  M 
D)  F

Question 13

For Medicare services, the type of bill code in form locator 4 must include four digits.

Accepted Answer

A) True 
 B)False

Question 14

For a patient whose condition permits adequate time to schedule the service, the admission type code would be reported as:

Accepted Answer

A)  emergency. 
B)  urgent. 
C)  elective. 
D)  trauma. 
A)  emergency. 
B)  urgent. 
C)  elective. 
D)  trauma.

Question 15

A facility's case mix is based on all of the following EXCEPT:

Accepted Answer

A)  discharge status. 
B)  severity of illness. 
C)  treatment difficulty. 
D)  resource intensity. 
A)  discharge status. 
B)  severity of illness. 
C)  treatment difficulty. 
D)  resource intensity.

Question 16

Match the following
-Reimbursement method that pays hospitals a fixed rate per day for all services provided

Accepted Answer

A)  condition code 
B)  value code 
C)  revenue code 
D)  per diem 
E)  occurrence code
F) type of bill code
G) source of admission code
H) type of admission code
I) fee for service
J) prospective payment system (PPS) 
A)  condition code 
B)  value code 
C)  revenue code 
D)  per diem 
E)  occurrence code
F) type of bill code
G) source of admission code
H) type of admission code
I) fee for service
J) prospective payment system (PPS)

Question 17

The UB-04 claim form allows for a maximum of:

Accepted Answer

A)  four diagnoses. 
B)  six diagnoses. 
C)  eight diagnoses. 
D)  10 diagnoses. 
A)  four diagnoses. 
B)  six diagnoses. 
C)  eight diagnoses. 
D)  10 diagnoses.

Question 18

For a patient whose condition requires immediate attention for the treatment of a physical or mental disorder, the admission type code would be reported as:

Accepted Answer

A)  emergency. 
B)  urgent. 
C)  elective. 
D)  trauma. 
A)  emergency. 
B)  urgent. 
C)  elective. 
D)  trauma.

Question 19

A case that cannot be assigned an appropriate DRG because of an atypical situation is called a(n):

Accepted Answer

A)  misdiagnosis. 
B)  cost differential. 
C)  cost outlier. 
D)  unsubstantiated claim. 
A)  misdiagnosis. 
B)  cost differential. 
C)  cost outlier. 
D)  unsubstantiated claim.

Question 20

A condition code would be used to describe a situation in which neither the patient nor the spouse is employed.

Accepted Answer

A) True 
 B)False

The number assigned to a patient upon admission to the hospital is the ________ number.

Match the following -Code that identifies services and benefit days for Medicare patients

What are the four sections of the UB-04 claim form?

On the UB-04, codes that identify the department that supplied the services are the:

DRG classification takes into account all of the following criteria EXCEPT:

The DRG system categorizes patients (cases) who are medically related with respect to diagnosis, treatment, and length of stay.

In form locator 15 on the UB-04 claim form, the codes for Physician Referral, HMO Referral, and Transfer from a skilled nursing facility (SNF) represent:

What is meant by inpatient care?

Match the following -Code that describes the accident or mishap responsible for the patient's admission to the hospital and the date

When using a FOUR-digit Medicare "type of bill" code in form locator 4, the bill classification (type of care) is represented by the:

The four sections of the UB-04 claim form include information on:

Which of the following codes would be entered to report that the patient is female in form locator 11 on the UB-04?

For Medicare services, the type of bill code in form locator 4 must include four digits.

For a patient whose condition permits adequate time to schedule the service, the admission type code would be reported as:

A facility's case mix is based on all of the following EXCEPT:

Match the following -Reimbursement method that pays hospitals a fixed rate per day for all services provided

The UB-04 claim form allows for a maximum of:

For a patient whose condition requires immediate attention for the treatment of a physical or mental disorder, the admission type code would be reported as:

A case that cannot be assigned an appropriate DRG because of an atypical situation is called a(n):

A condition code would be used to describe a situation in which neither the patient nor the spouse is employed.

Introduction to Professional Billing and Coding Careers

Understanding Managed Care: Insurance Plans

Understanding Managed Care: Medical Contracts and Ethics

Introduction to the Health Insurance Portability and Accountability Act Hipaa

ICD-10 Cm Medical Coding

Introduction to CPT and Place of Coding Services

Coding Procedures and Services

Hcpcs Coding and Compliance

Auditing

Physician Medical Billing

Medicare Medical Billing

Medicaid Medical Billing

Tricare Medical Billing

Explanation of Benefits and Payment Adjudication

Refunds and Appeals

Workers Compensation

Filters

Exam 11: Hospital Medical Billing

The number assigned to a patient upon admission to the hospital is the ________ number.

Match the following -Code that identifies services and benefit days for Medicare patients

What are the four sections of the UB-04 claim form?

On the UB-04, codes that identify the department that supplied the services are the:

DRG classification takes into account all of the following criteria EXCEPT:

The DRG system categorizes patients (cases) who are medically related with respect to diagnosis, treatment, and length of stay.

In form locator 15 on the UB-04 claim form, the codes for Physician Referral, HMO Referral, and Transfer from a skilled nursing facility (SNF) represent:

What is meant by inpatient care?

Match the following -Code that describes the accident or mishap responsible for the patient's admission to the hospital and the date

When using a FOUR-digit Medicare "type of bill" code in form locator 4, the bill classification (type of care) is represented by the:

The four sections of the UB-04 claim form include information on:

Which of the following codes would be entered to report that the patient is female in form locator 11 on the UB-04?

For Medicare services, the type of bill code in form locator 4 must include four digits.

For a patient whose condition permits adequate time to schedule the service, the admission type code would be reported as:

A facility's case mix is based on all of the following EXCEPT:

Match the following -Reimbursement method that pays hospitals a fixed rate per day for all services provided

The UB-04 claim form allows for a maximum of:

For a patient whose condition requires immediate attention for the treatment of a physical or mental disorder, the admission type code would be reported as:

A case that cannot be assigned an appropriate DRG because of an atypical situation is called a(n):

A condition code would be used to describe a situation in which neither the patient nor the spouse is employed.

Introduction to Professional Billing and Coding Careers

Understanding Managed Care: Insurance Plans

Understanding Managed Care: Medical Contracts and Ethics

Introduction to the Health Insurance Portability and Accountability Act Hipaa

ICD-10 Cm Medical Coding

Introduction to CPT and Place of Coding Services

Coding Procedures and Services

Hcpcs Coding and Compliance

Auditing

Physician Medical Billing

Medicare Medical Billing

Medicaid Medical Billing

Tricare Medical Billing

Explanation of Benefits and Payment Adjudication

Refunds and Appeals

Workers Compensation

Filters