Exam 12: Hospital Medical Billing
Exam 1: Introduction to Professional Billing and Coding Careers90 Questions
Exam 2: Understanding Managed Care: Insurance Plans92 Questions
Exam 3: Understanding Managed Care: Medical Contracts and Ethics91 Questions
Exam 4: Hipaa: Health Insurance Portability and Accountability Act of 199691 Questions
Exam 5: ICD-9-CM Medical Coding91 Questions
Exam 6: ICD-10-CM Medical Coding91 Questions
Exam 7: Introduction to Cpt and Place of Service Coding91 Questions
Exam 8: Coding Procedures and Services91 Questions
Exam 9: Hcpcs and Coding Compliance91 Questions
Exam 10: Auditing91 Questions
Exam 11: Physician Medical Billing91 Questions
Exam 12: Hospital Medical Billing90 Questions
Exam 13: Medicare Medical Billing89 Questions
Exam 14: Medicaid Medical Billing91 Questions
Exam 15: Tricare Medical Billing90 Questions
Exam 16: Explanation of Benefits and Payment Adjudication88 Questions
Exam 17: Refunds and Appeals91 Questions
Exam 18: Workers Compensation90 Questions
Exam 19: Electronic Medical Claims Processing91 Questions
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The type of care that provides palliative services for terminally ill patients is known as:
A)hospice care.
B)home health care.
C)critical care.
D)terminal care.
(Short Answer)
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The UB-04 claim form allows for a maximum of:
A)4 diagnoses.
B)6 diagnoses.
C)8 diagnoses.
D)10 diagnoses.
(Short Answer)
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The Diagnosis Related Group (DRG) system is a type of:
A)utilization review system.
B)capitation system.
C)prospective payment system.
D)retrospective payment system.
(Short Answer)
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For a patient whose condition requires immediate attention for the treatment of a physical or mental disorder, the admission type code would be reported as:
A)emergency.
B)urgent.
C)elective.
D)trauma.
(Short Answer)
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Situations that require immediate attention to avoid the loss of life or limb are:
A)critical.
B)emergencies.
C)urgent.
D)terminal.
(Short Answer)
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A patient control number (PCN) is a unique number given to each patient for each day of inpatient care.
(True/False)
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The universal claim form used for hospital billing of private and government payers is the:
A)UB-82.
B)UB-92.
C)UB-04.
D)CMS-1500.
(Short Answer)
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The Diagnosis Related Group (DRG) system categorizes patients (cases) who are medically related with respect to diagnosis, treatment, and length of stay.
(True/False)
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For a patient whose condition permits adequate time to schedule the service, the admission type code would be reported as:
A)emergency.
B)urgent.
C)elective.
D)trauma.
(Short Answer)
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An ambulatory surgical center must be affiliated with a hospital in order to operate.
(True/False)
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