Exam 6: Inpatient Billing

The most commonly recognized inpatient reimbursement methodology would be:

Diagnoses related to multiple significant trauma would be assigned to which MDC?

What would be the appropriate revenue code and descriptor for room and board charges for a semiprivate room for medicine services?

For inpatient claims, a Principal Diagnosis, Admitting Diagnosis, and Patient's Reason for Visit should be entered. Identify which FL should be utilized for these pieces of information.

What type of bill should be entered in which FL of the UB-04?

In what order should revenue codes be listed in FL 42?

The prospective payment system, introduced by Medicare in 1983, is the oldest methodology for inpatient hospital reimbursement.

MDCs are further partitioned into what subcategories?

In which FL is the patient's name entered on the UB-04?

A chest x-ray would be assigned Revenue Code 0324.

When would it be appropriate to enter a different physician's name in FL 76 versus FL 77?

When professional services are entered on the UB-04, which revenue codes should be utilized?

How may condition codes may be listed in FL 18-28?

What occurrence code would be indicated in FL 31 when the patient's benefits have been exhausted?

An admission time of 2:32 a.m. would be assigned "02" in form locator (FL) 13.

Diagnosis-related group (DRG) classifications are divided into categories referred to as Major Diagnostic Categories (MDCs).

The primary breakdown of categories of principal diagnoses is referred to as:

What would be the appropriate MDC assignment for diseases of the nervous system?

What condition code would be indicated in FL 18 for conditions related to military service?

The DRG assignments for rectal resection would be 374 or 375 based on whether the encounter was surgical or nonsurgical in nature.