Question 1

Which of the following codes would be entered to report that the patient is female in form locator 11 on the UB-04?
A)1
B)2
C)M
D)F

Accepted Answer

F

Question 2

The majority of hospital reimbursement comes from insurance companies.

Accepted Answer

A) True 
 B)False  True

Question 3

A preexisting condition that, because of its effect on the principal diagnosis, results in more intensive therapy or a longer stay is a(n):
A)chronic condition.
B)complication.
C)comorbidity.
D)exacerbation.

Accepted Answer

comorbidity.

Question 4

The number of form locators on the UB-04 claim form is:
A)33.
B)62.
C)81.
D)94.

Accepted Answer

The answer of The number of form locators on the...

Question 5

The admission and discharge hour codes on the UB-04 form are based on military time.

Accepted Answer

A) True 
 B)False

Question 6

When referring to Diagnosis Related Groups (DRGs), the abbreviation CC is used to indicate:
A)chief complaint.
B)closed case.
C)chronic condition.
D)complications or comorbidities.

Accepted Answer

complicati

Question 7

On form locator 67 of the UB-04 form, the principal diagnosis code is:
A)optional.
B)required.
C)not applicable.
D)not required.

Accepted Answer

The answer of On form locator 67 of the UB-04...

Question 8

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

Accepted Answer

The four sections are patient

Question 9

Match between columns
                        Premises: Reimbursement method that pays hospitals a fixed rate per day for all services provided
Code that informs the payer how the patient was admitted and from where
Code that identifies services and benefit days for Medicare patients
Reimbursement method that pays for actual charges if services are found to be medically necessary
Code that identifies special circumstances, events, room accommodations, or conditions related to the services provided
Code that establishes the level of urgency for admission
Establishment of the rate of payment for hospital services before services are rendered
Code that describes the accident or mishap responsible for the patient's admission to the hospital and the date
Code used to identify the department or unit that rendered services
Code that provides information about the type of care and the episode of care

Accepted Answer

The Answer of type of bill code and fee for is...

Question 10

If the time that a patient was admitted to the hospital is unknown, which code would be entered in form locator 13?
A)It would be left blank.
B)It would be noted as "unknown."
C)Code 00
D)Code 99

Accepted Answer

The answer of If the time that a patient was...

Question 11

The method of reimbursement that establishes the rate of payment to a hospital before services are rendered is:
A)capitation.
B)fee for service.
C)per diem.
D)prospective payment system.

Accepted Answer

prospectiv

Question 12

What is meant by inpatient care?

Accepted Answer

Inpatient care refer

Question 13

OPPS stands for:
A)Outpatient Payment for Preventive Services.
B)Outpatient Prospective Payment System.
C)Optimal Payment for Procedures and Services.
D)Other Payments for Procedures and Services.

Accepted Answer

Outpatient

Question 14

A code that describes an accident or mishap responsible for the patient's admission to the hospital is known as a(n):
A)condition code.
B)occurrence code.
C)value code.
D)revenue code.

Accepted Answer

The answer of A code that describes an accident or...

Question 15

Revenue codes on the UB-04 claim form identify services and benefit days for Medicare patients.

Accepted Answer

A) True 
 B)False

Question 16

When using a FOUR-digit Medicare "type of bill" code in form locator 4, the bill classification (type of care) is represented by the:
A)first digit.
B)second digit.
C)third digit.
D)fourth digit.

Accepted Answer

The answer of When using a FOUR-digit Medicare "type of...

Question 17

The volume of ICD-9 codes that is used to code hospital services and procedures is:
A)Volume 3.
B)Volume 2.
C)Volume 1.
D)Version 5010.

Accepted Answer

The answer of The volume of ICD-9 codes that is...

Question 18

When using a FOUR-digit Medicare "type of bill" code in form locator 4, the frequency is represented by the:
A)first digit.
B)second digit.
C)third digit.
D)fourth digit.

Accepted Answer

The answer of When using a FOUR-digit Medicare "type of...

Question 19

In form locator 17 on the UB-04 claim form, the codes for "Left against medical advice or discontinued care," "Expired (or did not recover)," and "Admitted as an inpatient to this hospital" represent:
A)admission source codes.
B)discharge status codes.
C)admission type codes.
D)condition codes.

Accepted Answer

discharge

Question 20

It is the responsibility of the __________ physician to determine the principal diagnosis for his or her patient.

Accepted Answer

The answer of It is the responsibility of the __________...

Which of the following codes would be entered to report that the patient is female in form locator 11 on the UB-04? A)1 B)2 C)M D)F

The majority of hospital reimbursement comes from insurance companies.

A preexisting condition that, because of its effect on the principal diagnosis, results in more intensive therapy or a longer stay is a(n): A)chronic condition. B)complication. C)comorbidity. D)exacerbation.

The number of form locators on the UB-04 claim form is: A)33. B)62. C)81. D)94.

The admission and discharge hour codes on the UB-04 form are based on military time.

When referring to Diagnosis Related Groups (DRGs), the abbreviation CC is used to indicate: A)chief complaint. B)closed case. C)chronic condition. D)complications or comorbidities.

On form locator 67 of the UB-04 form, the principal diagnosis code is: A)optional. B)required. C)not applicable. D)not required.

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

If the time that a patient was admitted to the hospital is unknown, which code would be entered in form locator 13? A)It would be left blank. B)It would be noted as "unknown." C)Code 00 D)Code 99

The method of reimbursement that establishes the rate of payment to a hospital before services are rendered is: A)capitation. B)fee for service. C)per diem. D)prospective payment system.

What is meant by inpatient care?

OPPS stands for: A)Outpatient Payment for Preventive Services. B)Outpatient Prospective Payment System. C)Optimal Payment for Procedures and Services. D)Other Payments for Procedures and Services.

A code that describes an accident or mishap responsible for the patient's admission to the hospital is known as a(n): A)condition code. B)occurrence code. C)value code. D)revenue code.

Revenue codes on the UB-04 claim form identify services and benefit days for Medicare patients.

When using a FOUR-digit Medicare "type of bill" code in form locator 4, the bill classification (type of care) is represented by the: A)first digit. B)second digit. C)third digit. D)fourth digit.

The volume of ICD-9 codes that is used to code hospital services and procedures is: A)Volume 3. B)Volume 2. C)Volume 1. D)Version 5010.

When using a FOUR-digit Medicare "type of bill" code in form locator 4, the frequency is represented by the: A)first digit. B)second digit. C)third digit. D)fourth digit.

In form locator 17 on the UB-04 claim form, the codes for "Left against medical advice or discontinued care," "Expired (or did not recover)," and "Admitted as an inpatient to this hospital" represent: A)admission source codes. B)discharge status codes. C)admission type codes. D)condition codes.

It is the responsibility of the __________ physician to determine the principal diagnosis for his or her patient.

Introduction to Professional Billing and Coding Careers

Understanding Managed Care: Insurance Plans

Understanding Managed Care: Medical Contracts and Ethics

Hipaa: Health Insurance Portability and Accountability Act of 1996

ICD-9-CM Medical Coding

ICD-10-CM Medical Coding

Introduction to Cpt and Place of Service Coding

Coding Procedures and Services

Hcpcs and Coding 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

Electronic Medical Claims Processing

Filters

Exam 12: Hospital Medical Billing

Which of the following codes would be entered to report that the patient is female in form locator 11 on the UB-04? A)1 B)2 C)M D)F

The majority of hospital reimbursement comes from insurance companies.

A preexisting condition that, because of its effect on the principal diagnosis, results in more intensive therapy or a longer stay is a(n): A)chronic condition. B)complication. C)comorbidity. D)exacerbation.

The number of form locators on the UB-04 claim form is: A)33. B)62. C)81. D)94.

The admission and discharge hour codes on the UB-04 form are based on military time.

When referring to Diagnosis Related Groups (DRGs), the abbreviation CC is used to indicate: A)chief complaint. B)closed case. C)chronic condition. D)complications or comorbidities.

On form locator 67 of the UB-04 form, the principal diagnosis code is: A)optional. B)required. C)not applicable. D)not required.

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

If the time that a patient was admitted to the hospital is unknown, which code would be entered in form locator 13? A)It would be left blank. B)It would be noted as "unknown." C)Code 00 D)Code 99

The method of reimbursement that establishes the rate of payment to a hospital before services are rendered is: A)capitation. B)fee for service. C)per diem. D)prospective payment system.

What is meant by inpatient care?

OPPS stands for: A)Outpatient Payment for Preventive Services. B)Outpatient Prospective Payment System. C)Optimal Payment for Procedures and Services. D)Other Payments for Procedures and Services.

A code that describes an accident or mishap responsible for the patient's admission to the hospital is known as a(n): A)condition code. B)occurrence code. C)value code. D)revenue code.

Revenue codes on the UB-04 claim form identify services and benefit days for Medicare patients.

When using a FOUR-digit Medicare "type of bill" code in form locator 4, the bill classification (type of care) is represented by the: A)first digit. B)second digit. C)third digit. D)fourth digit.

The volume of ICD-9 codes that is used to code hospital services and procedures is: A)Volume 3. B)Volume 2. C)Volume 1. D)Version 5010.

When using a FOUR-digit Medicare "type of bill" code in form locator 4, the frequency is represented by the: A)first digit. B)second digit. C)third digit. D)fourth digit.

In form locator 17 on the UB-04 claim form, the codes for "Left against medical advice or discontinued care," "Expired (or did not recover)," and "Admitted as an inpatient to this hospital" represent: A)admission source codes. B)discharge status codes. C)admission type codes. D)condition codes.

It is the responsibility of the __________ physician to determine the principal diagnosis for his or her patient.

Introduction to Professional Billing and Coding Careers

Understanding Managed Care: Insurance Plans

Understanding Managed Care: Medical Contracts and Ethics

Hipaa: Health Insurance Portability and Accountability Act of 1996

ICD-9-CM Medical Coding

ICD-10-CM Medical Coding

Introduction to Cpt and Place of Service Coding

Coding Procedures and Services

Hcpcs and Coding 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

Electronic Medical Claims Processing

Filters