AP Notes, Outlines, Study Guides, Vocabulary, Practice Exams and more!

Hospital billing/ UB-40 chp 12 Flashcards

Terms : Hide Images
7086969215How many diagnosis can be listed in the UB-04 claim Form?100
7090142927What is listed on a Charge Description Master?Procedure code, procedure description, service description, revenue code and charge amounts1
7090149108What are revenue codes?The 3 digit code representing a specific accommodation ancillary service or billing calculation related to that service, identifies the hospital department that provided services2
7090164888What is Ambulatory Surgical Unit?A department in a hospital that performs outpatient services for patients, day surgeries, minor procedures3
7090172836Define Cost Outliera case that cannot be assigned an appropriate DRG because of a rare condition, long length of stay or unique or unusual combination of diagnosis and surgeries4
7090185687What is the software program that allows a facility to calculate its Diagnosis Related Group (DRG) payment group?grouper5
7090187975Who maintains the Ambulatory Payment Classification (APC) list?CMS Centers of Medicare and Medicaid Services6
7090191377Ambulatory Payment Classification (APC) system bases payment onprocedures7
7090194884What is Prospective Payment System?pay before service is rendered8
7090200886How often is a patient control number (PCN) assigned to a patient in the hospital?with each admission and listed on a UB-04 claim form9
7090202670Define comorbidityone or more diseases that presents in addition to the primary disease10
7090210879What are the different types of facilities that would use UB-04 claim form?inpatient care, hospice11
7090216178Majority of hospital reimbursement comes from??insurance companies12
7090217813When will a hospital bill for patient services?when a patient is discharged, after discharge papers are signed by physician13
7090226480What is the method of reimbursement that pays hospitals a fixed rate per day for all services?The Per Diem type14
7090228744What does OPPS stand for?Outpatient Prospective Payment System15
7090230742Diagnosis Related Group (DRG) system is a type of?Prospective payment system16
7090239388What physician is primarily responsible for patient's care while in the hospital?attending physician17
7090243424Referring to Diagnosis Relayed Group (DRG) what does CC used to indicate?complications or comorbidity18
7090272000If the time that the patient was admitted to the hospital is unknown, which code would be used, on form locator 13?9919

Need Help?

We hope your visit has been a productive one. If you're having any problems, or would like to give some feedback, we'd love to hear from you.

For general help, questions, and suggestions, try our dedicated support forums.

If you need to contact the Course-Notes.Org web experience team, please use our contact form.

Need Notes?

While we strive to provide the most comprehensive notes for as many high school textbooks as possible, there are certainly going to be some that we miss. Drop us a note and let us know which textbooks you need. Be sure to include which edition of the textbook you are using! If we see enough demand, we'll do whatever we can to get those notes up on the site for you!