Exam 18: Hospital Billing and the UB-04

The acronym for the federal law that ensures public access to emergency services regardless of ability to pay is:

When a patient actively participates in choices about his or her healthcare,this is commonly referred to as:

Regional companies that oversee the administration and processing of Medicare policies and process Part A claims for institutional services are called:

Groups of practicing healthcare professionals who oversee the quality of care provided to Medicare beneficiaries are called:

Medicare's payment system in which hospitals are paid a set fee for treating patients in a specific category,regardless of the actual cost of care for the individual,is:

A skilled nursing facility (SNF)in which the type of care received may include rehabilitation services and/or specialized care for certain conditions (such as stroke and diabetes)and/or postsurgical care is a/an:

Career opportunities for health insurance professionals exist in:

Hospitals accredited by EMTLA are considered to be in compliance with most of Medicare's "Conditions of Participation for Hospitals."

The discipline,or moral principles,of evaluating the merits,risks,and social concerns of activities in the field of medicine is known as medical:

Many health insurance companies change both their premiums and reimbursement rates:

A facility that is certified by Medicare and licensed/approved under state and/or local law to provide 24-hour nursing care and rehabilitation services in addition to other medical services is a/an:

Like ICD-9-CM Volume 1 and 2,Volume 3 contains a/an ___________ and a __________,and the formats of these two sections are the same.

How many significant procedures other than the principal procedure may be reported on the UB-04 claim form?

List at least six career opportunities that fall under the umbrella of hospital billing.

All acute care or general hospitals must be licensed by the federal government.

Organizations that contract with healthcare providers to process health insurance claims,often providing consulting services for providers,are referred to as:

A process whereby a medical institution is recognized by an external body as meeting certain predetermined standards is called:

Most medical clinics in the United States provide outpatient services only.

Temporary payments for specified new technologies,drugs,devices,and biologics for which costs were not available when calculating APC payment rates are called:

List the four methods Blue Cross and Blue Shield uses for establishing fees for facility services.