Question 1

Payment Status Indicator "S" would be assigned for what types of service?

Accepted Answer

A)   Immunizations and Vaccines
B)   Significant Procedures
C)   Blood and Blood Products
D)   Visit Services B

Question 2

What occurrence code would be appropriate for a claim that is auto accident-related?

Accepted Answer

A)   Occurrence Code 17
B)   Occurrence Code 44
C)   Occurrence Code 01
D)   Occurrence Code 16 C

Question 3

A patient who is a full-time student would be indicated by Condition Code 31 or 33 as applicable.

Accepted Answer

A) True 
 B)False  True

Question 4

Based on the information provided in Table 8-8, an ER Visit Level 3 would be assigned what APC assignment?

Accepted Answer

A)   APC 0605
B)   APC 0601
C)   APC 0606
D)   APC 0614

Question 5

What would be the appropriate CPT code and APC assignment for IV Hydration from 10:00 a.m. to 12:10 p.m.?

Accepted Answer

The answer of What would be the appropriate CPT code...

Question 6

The condition code entered for an employment-related encounter would be:

Accepted Answer

A)   Condition Code 17.
B)   Condition Code 02.
C)   Condition Code 42.
D)   Condition Code 44.

Question 7

Under the APC methodology, a surgical procedure includes incidental drugs, observation care, operating room charges, and anesthesia.

Accepted Answer

A) True 
 B)False

Question 8

What would be the appropriate CPT code and APC assignment for a chest x-ray, posterioranterior (PA) and lateral?

Accepted Answer

The answer of What would be the appropriate CPT code...

Question 9

The admission and discharge hours are not required on outpatient hospital claims.

Accepted Answer

A) True 
 B)False

Question 10

Payment Status Indicator "X" includes all but:

Accepted Answer

A)   immunizations.
B)   surgeries.
C)   radiology services.
D)   electrocardiograms.

Question 11

The ambulatory payment classification (APC) payment methodology was modeled based on a "package" concept similar to diagnosis-related groups (DRGs).

Accepted Answer

A) True 
 B)False

Question 12

A Revenue Code of 045X would indicate:

Accepted Answer

A)   respiratory services.
B)   emergency room services.
C)   physical therapy services.
D)   speech therapy services.

Question 13

What would be the appropriate CPT and APC code assignment for a ER Level 2 visit?

Accepted Answer

The answer of What would be the appropriate CPT and...

Question 14

An electrocardiogram would be assigned what APC classification?

Accepted Answer

A)   APC 0284
B)   APC 0438
C)   APC 0099
D)   APC 0190

Question 15

A service indicated as Payment Status Indicator "T" will be surgical services.

Accepted Answer

A) True 
 B)False

Question 16

The designation for an outpatient hospital facility claim, admit through discharge, would be which type of bill?

Accepted Answer

A)   Type of Bill 0131
B)   Type of Bill 0111
C)   Type of Bill 0130
D)   Type of Bill 0121

Question 17

What would be the appropriate revenue code and descriptor for the following services?

Accepted Answer

The answer of What would be the appropriate revenue code...

Question 18

Payment Status Indicators assigned to all outpatient facility services indicate:

Accepted Answer

A)   how services will be paid.
B)   whether services will be paid.
C)   the method by which services will be paid.
D)   all of the above.

Question 19

What occurrence code would be appropriate when the encounter is due to a no-fault automobile accident?

Accepted Answer

The answer of What occurrence code would be appropriate when...

Question 20

Responsible party information is required on all outpatient facility claims.

Accepted Answer

A) True 
 B)False

Exam 8: Outpatient Billing

Payment Status Indicator "S" would be assigned for what types of service?

What occurrence code would be appropriate for a claim that is auto accident-related?

A patient who is a full-time student would be indicated by Condition Code 31 or 33 as applicable.

Based on the information provided in Table 8-8, an ER Visit Level 3 would be assigned what APC assignment?

What would be the appropriate CPT code and APC assignment for IV Hydration from 10:00 a.m. to 12:10 p.m.?

The condition code entered for an employment-related encounter would be:

Under the APC methodology, a surgical procedure includes incidental drugs, observation care, operating room charges, and anesthesia.

What would be the appropriate CPT code and APC assignment for a chest x-ray, posterioranterior (PA) and lateral?

The admission and discharge hours are not required on outpatient hospital claims.

Payment Status Indicator "X" includes all but:

The ambulatory payment classification (APC) payment methodology was modeled based on a "package" concept similar to diagnosis-related groups (DRGs).

A Revenue Code of 045X would indicate:

What would be the appropriate CPT and APC code assignment for a ER Level 2 visit?

An electrocardiogram would be assigned what APC classification?

A service indicated as Payment Status Indicator "T" will be surgical services.

The designation for an outpatient hospital facility claim, admit through discharge, would be which type of bill?

What would be the appropriate revenue code and descriptor for the following services?

Payment Status Indicators assigned to all outpatient facility services indicate:

What occurrence code would be appropriate when the encounter is due to a no-fault automobile accident?

Responsible party information is required on all outpatient facility claims.