7086969215 | How many diagnosis can be listed in the UB-04 claim Form? | 10 | 0 | |
7090142927 | What is listed on a Charge Description Master? | Procedure code, procedure description, service description, revenue code and charge amounts | 1 | |
7090149108 | What 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 services | 2 | |
7090164888 | What is Ambulatory Surgical Unit? | A department in a hospital that performs outpatient services for patients, day surgeries, minor procedures | 3 | |
7090172836 | Define Cost Outlier | a 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 surgeries | 4 | |
7090185687 | What is the software program that allows a facility to calculate its Diagnosis Related Group (DRG) payment group? | grouper | 5 | |
7090187975 | Who maintains the Ambulatory Payment Classification (APC) list? | CMS Centers of Medicare and Medicaid Services | 6 | |
7090191377 | Ambulatory Payment Classification (APC) system bases payment on | procedures | 7 | |
7090194884 | What is Prospective Payment System? | pay before service is rendered | 8 | |
7090200886 | How often is a patient control number (PCN) assigned to a patient in the hospital? | with each admission and listed on a UB-04 claim form | 9 | |
7090202670 | Define comorbidity | one or more diseases that presents in addition to the primary disease | 10 | |
7090210879 | What are the different types of facilities that would use UB-04 claim form? | inpatient care, hospice | 11 | |
7090216178 | Majority of hospital reimbursement comes from?? | insurance companies | 12 | |
7090217813 | When will a hospital bill for patient services? | when a patient is discharged, after discharge papers are signed by physician | 13 | |
7090226480 | What is the method of reimbursement that pays hospitals a fixed rate per day for all services? | The Per Diem type | 14 | |
7090228744 | What does OPPS stand for? | Outpatient Prospective Payment System | 15 | |
7090230742 | Diagnosis Related Group (DRG) system is a type of? | Prospective payment system | 16 | |
7090239388 | What physician is primarily responsible for patient's care while in the hospital? | attending physician | 17 | |
7090243424 | Referring to Diagnosis Relayed Group (DRG) what does CC used to indicate? | complications or comorbidity | 18 | |
7090272000 | If the time that the patient was admitted to the hospital is unknown, which code would be used, on form locator 13? | 99 | 19 |
Hospital billing/ UB-40 chp 12 Flashcards
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