Question 1

APC is a reimbursement tool developed by CMS and other carriers for editing claims.

Accepted Answer

A) True 
 B)False

Question 2

Electrocardiograms (EKGs) require that an HCPCS/CPT code be assigned on the UB-04 (CMS-1450) claim form.

Accepted Answer

A) True 
 B)False

Question 3

All outpatient service reimbursements are based on the APC methodology.

Accepted Answer

A) True 
 B)False

Question 4

A claim returned to the provider due to invalid diagnoses codes would be assigned what disposition code as an OCE edit?

Accepted Answer

A)  Return to Provider (RTP) 
B)  Line Item Denial 
C)  Claim Denial 
D)  Service Line Denial 
A)  Return to Provider (RTP) 
B)  Line Item Denial 
C)  Claim Denial 
D)  Service Line Denial

Question 5

If payment is to be sent to another address other than that listed in FL 1, where should that information be entered?

Accepted Answer

FL 02 - "P

Question 6

All outpatient services are sent to the Coding Department/Health information management (HIM) Department for procedure and diagnosis coding.

Accepted Answer

A) True 
 B)False

Question 7

Cardiac Catheterizations would be assigned what revenue code?

Accepted Answer

A)  Revenue Code 045X 
B)  Revenue Code 0481 
C)  Revenue Code 0623 
D)  Revenue Code 070X 
A)  Revenue Code 045X 
B)  Revenue Code 0481 
C)  Revenue Code 0623 
D)  Revenue Code 070X

Question 8

Procedures performed in the operating room require the assignment of HCPCS/CPT codes.

Accepted Answer

A) True 
 B)False

Question 9

Emergency room visits would be assigned Payment Status Indicator "X."

Accepted Answer

A) True 
 B)False

Question 10

A value code of A1 would indicate:

Accepted Answer

A)  patient weight. 
B)  patient height. 
C)  co-payment payer A. 
D)  deductible payer A. 
A)  patient weight. 
B)  patient height. 
C)  co-payment payer A. 
D)  deductible payer A.

APC is a reimbursement tool developed by CMS and other carriers for editing claims.

Electrocardiograms (EKGs) require that an HCPCS/CPT code be assigned on the UB-04 (CMS-1450) claim form.

All outpatient service reimbursements are based on the APC methodology.

A claim returned to the provider due to invalid diagnoses codes would be assigned what disposition code as an OCE edit?

If payment is to be sent to another address other than that listed in FL 1, where should that information be entered?

All outpatient services are sent to the Coding Department/Health information management (HIM) Department for procedure and diagnosis coding.

Cardiac Catheterizations would be assigned what revenue code?

Procedures performed in the operating room require the assignment of HCPCS/CPT codes.

Emergency room visits would be assigned Payment Status Indicator "X."

A value code of A1 would indicate:

The Flow of the Hospital Organization

Hospital Coding Overview

Hospital Billing Overview

UB-04 Overview CMS-1450

Inpatient Coding

Inpatient Billing

Outpatient Coding

Filters

Exam 8: Outpatient Billing

APC is a reimbursement tool developed by CMS and other carriers for editing claims.

Electrocardiograms (EKGs) require that an HCPCS/CPT code be assigned on the UB-04 (CMS-1450) claim form.

All outpatient service reimbursements are based on the APC methodology.

A claim returned to the provider due to invalid diagnoses codes would be assigned what disposition code as an OCE edit?

If payment is to be sent to another address other than that listed in FL 1, where should that information be entered?

All outpatient services are sent to the Coding Department/Health information management (HIM) Department for procedure and diagnosis coding.

Cardiac Catheterizations would be assigned what revenue code?

Procedures performed in the operating room require the assignment of HCPCS/CPT codes.

Emergency room visits would be assigned Payment Status Indicator "X."

A value code of A1 would indicate:

The Flow of the Hospital Organization

Hospital Coding Overview

Hospital Billing Overview

UB-04 Overview CMS-1450

Inpatient Coding

Inpatient Billing

Outpatient Coding

Filters