Question 1

Modern hospital construction is regulated by:

Accepted Answer

A)  federal and state laws. 
B)  state health department policies. 
C)  city ordinances. 
D)  all of the above 
A)  federal and state laws. 
B)  state health department policies. 
C)  city ordinances. 
D)  all of the above

Question 2

The American Health Information Management Association (AHIMA)and the American Academy of Professional Coders (AAPC)offer certification in various coding proficiencies.

Accepted Answer

A) True 
 B)False

Question 3

Guidelines for locating the correct procedure code in ICD-9-CM Volume 3 involve first locating the procedure in the _____________ and then cross-referencing it to the ____________,where the code selection is confirmed.

Accepted Answer

Alphabetic

Question 4

A nonprofit organization that promotes continuous improvement in the efficiency and quality of healthcare delivery by accrediting certain types of healthcare organizations such as PPOs (not HMOs)is:

Accepted Answer

A)  NCQA. 
B)  URAC. 
C)  AAAHC. 
D)  HIPAA. 
A)  NCQA. 
B)  URAC. 
C)  AAAHC. 
D)  HIPAA.

Question 5

There are currently 17 separate divisions in the ICD-10-PCS system.

Accepted Answer

A) True 
 B)False

Question 6

To facilitate the process of capturing costs for performing procedures and services,every hospital has what is known as a/an:

Accepted Answer

A)  outlier. 
B)  crosswalk. 
C)  pass-through. 
D)  charge master. 
A)  outlier. 
B)  crosswalk. 
C)  pass-through. 
D)  charge master.

Question 7

A goal of the entire healthcare system is to reduce costs and,at the same time,be more responsive to customers (patients)needs.

Accepted Answer

A) True 
 B)False

Question 8

The hospital billing process begins when the patient:

Accepted Answer

A)  is discharged. 
B)  provides his or her insurance information. 
C)  registers for admission. 
D)  schedules an appointment with his or her physician. 
A)  is discharged. 
B)  provides his or her insurance information. 
C)  registers for admission. 
D)  schedules an appointment with his or her physician.

Question 9

In 2000 a specific payment system was implemented for use by CMS for hospital outpatient services reimbursement called the:

Accepted Answer

A)  ambulatory payment classification system. 
B)  hospital outpatient prospective payment system (HOPPS). 
C)  registered health payment system. 
D)  vertically integrated payment system. 
A)  ambulatory payment classification system. 
B)  hospital outpatient prospective payment system (HOPPS). 
C)  registered health payment system. 
D)  vertically integrated payment system.

Modern hospital construction is regulated by:

The American Health Information Management Association (AHIMA)and the American Academy of Professional Coders (AAPC)offer certification in various coding proficiencies.

Guidelines for locating the correct procedure code in ICD-9-CM Volume 3 involve first locating the procedure in the _ and then cross-referencing it to the ,where the code selection is confirmed.

A nonprofit organization that promotes continuous improvement in the efficiency and quality of healthcare delivery by accrediting certain types of healthcare organizations such as PPOs (not HMOs)is:

There are currently 17 separate divisions in the ICD-10-PCS system.

To facilitate the process of capturing costs for performing procedures and services,every hospital has what is known as a/an:

A goal of the entire healthcare system is to reduce costs and,at the same time,be more responsive to customers (patients)needs.

The hospital billing process begins when the patient:

In 2000 a specific payment system was implemented for use by CMS for hospital outpatient services reimbursement called the:

The Origins of Health Insurance

Tools of the Trade: A Career as a Health (Medical)Insurance Professional

The Legal and Ethical Side of Medical Insurance

Types and Sources of Health Insurance

Claim Submission Methods

Traditional Fee For Service/Private Plans

Unraveling the Mysteries of Managed Care

Understanding Medicaid

Conquering Medicare’s Challenges

Military Carriers

Miscellaneous Carriers: Workers’ Compensation and Disability Insurance

Diagnostic Coding

Procedural, Evaluation and Management, and HCPCS Coding

The Patient

Keys to Successful Claims Management

The Role of Computers in Health Insurance

Reimbursement Procedures: Getting Paid

Filters

Exam 18: Hospital Billing and the UB-04

Modern hospital construction is regulated by:

The American Health Information Management Association (AHIMA)and the American Academy of Professional Coders (AAPC)offer certification in various coding proficiencies.

Guidelines for locating the correct procedure code in ICD-9-CM Volume 3 involve first locating the procedure in the _____________ and then cross-referencing it to the ____________,where the code selection is confirmed.

A nonprofit organization that promotes continuous improvement in the efficiency and quality of healthcare delivery by accrediting certain types of healthcare organizations such as PPOs (not HMOs)is:

There are currently 17 separate divisions in the ICD-10-PCS system.

To facilitate the process of capturing costs for performing procedures and services,every hospital has what is known as a/an:

A goal of the entire healthcare system is to reduce costs and,at the same time,be more responsive to customers (patients)needs.

The hospital billing process begins when the patient:

In 2000 a specific payment system was implemented for use by CMS for hospital outpatient services reimbursement called the:

The Origins of Health Insurance

Tools of the Trade: A Career as a Health (Medical)Insurance Professional

The Legal and Ethical Side of Medical Insurance

Types and Sources of Health Insurance

Claim Submission Methods

Traditional Fee For Service/Private Plans

Unraveling the Mysteries of Managed Care

Understanding Medicaid

Conquering Medicare’s Challenges

Military Carriers

Miscellaneous Carriers: Workers’ Compensation and Disability Insurance

Diagnostic Coding

Procedural, Evaluation and Management, and HCPCS Coding

The Patient

Keys to Successful Claims Management

The Role of Computers in Health Insurance

Reimbursement Procedures: Getting Paid

Filters

Guidelines for locating the correct procedure code in ICD-9-CM Volume 3 involve first locating the procedure in the _ and then cross-referencing it to the ,where the code selection is confirmed.