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Hospital Billing/ UB-04 (Week 5) Flashcards

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10377576893How many diagnosis can be listed on the UB-04 claim form?10 diagnosis0
10377577867What is listed on a Charge Description Master?Procedure code, Procedure of Services description, charge1
10377579523What are revenue codes?Codes that identify the hospital performs outpatient services2
10377580236Define Cost OutlierCase that cannot be assigned an appropriate DRG3
10377583244What is the software program that allows a facility to calculate its Diagnosis Related Group payment group?Grouper4
10377583894Who maintains the Ambulatory Payment Classification list?[CMS] Centers for Medicare and Medicaid services5
10377586305Ambulatory Payment Classification system bases payment on.....Procedures6
10377587029What is Prospective Payment System?The method of reimbursement that establishes the rat of payment to a hospital before service are rendered7
10377589623How often is a patent control number assigned to a patent in the hospital?At each admission8
10377590149Define comorbidityPreexisting condition that will require intensive therapy9
10377593683What are the types of facilities that would use UB-04 claim form?Hospitals, Rehabilitation centers, outpatients surgical centers10
10377597008Majority of hospital reimbursement comes from?Insurance companies11
10377599447What is an Ambulatory surgical UnitA department within the hospital performs outpatient service12
10377600674When will a hospital bill for patient services?After the discharge paperwork is completed and signed by the physician13
10377603929What is the method of reimbursement that pays hospitals a fixed rate day for all services?Per Diem14
10377604600What does OPPS stand for?Outpatients prospective payment system15
10377605573Diagnosis Related Group system is a type of?Prospective payment system16
10377608054What physician primarily responsible for patients care while int he hospital?Attending Physician17
10377609227Referring to Diagnosis Related Group, what does CC used to indicate?Complications and commodities18
10377610316IF the time that the patient was admitted tot he hospital is unknown, which code would be used.Code 9919

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