10403348744 | How many diagnosis can be listed on the UB-04 | 10 diagnosis | 0 | |
10403348745 | What is listed on a Charge Description Master | -All services and items provided to the patient -procedure code -hospital charges | 1 | |
10403348746 | What are revenue codes | They describe the specific accommodation and/or providing necessary support to the primary actives or operation charges | 2 | |
10403348747 | What is Ambulatory Surgical Unit | A designated center where outpatient services are offered to patient | 3 | |
10403348748 | Define Cost Outlier | A case that cannot be assigned an appropriate DRG because of an atypical situation | 4 | |
10403348749 | What are the types of of facilities that would use UB-04 claim | Rehab Center, Outpatient/Inpatient Care, Skill Nursing Facility, Emergency Care, Urgent Care, Ambulatory Center | 5 | |
10403348750 | Who maintains the ambulatory payment classification (APC) list | The Centers of Medicare and Medicaid (CMS) | 6 | |
10403348751 | Ambulatory Payment Classifications (APC) system bases payment on | Procedure | 7 | |
10403348752 | What is Prospective Payment System | Establish payment rates to hospitals prospectively before services are rendered | 8 | |
10403348753 | How often is a patient control number (PCN) assigned to patient in the hospital | Each hospital admission | 9 | |
10403348754 | Define comorbidity | -The simultaneous presence of toe chronic diseases or condition in a patient -one or more diseases that presents in addition to the primary disease or disorder | 10 | |
10403348755 | Define comorbidity | -The simultaneous presence of two chronic diseases or condition in a patient -one or more diseases that presents in addition to the primary disease or disorder | 11 | |
10403348756 | Majority of hospital reimbursement comes from | Insurance Company | 12 | |
10403348757 | When will a hospital bill for patient services | After the patient is discharged and form is signed by a physician | 13 | |
10403348758 | What is the method of reimbursement that pays hospitals a fixed rate per day for all services | Per Diem type | 14 | |
10403348759 | What does OPPS stand for | Outpatient Prospective Payment System | 15 | |
10403348760 | Diagnosis Related Group (DRG) system is a type of ... | Prospective Payment System | 16 | |
10403348761 | What physician is primarily responsible for patient's care while in the hospital | An Attending Physician | 17 | |
10403348762 | Referring to Diagnosis Related Group(DRG), what does CC used to indicte | Complication or Comorbidities | 18 | |
10403348763 | In the time that the patient was admitted to the hospital is unknown, which code would be used (on locator 13) | Code 99 | 19 |
Week 5 Hospital Billing/UB-04 Flashcards
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