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Week 5 Hospital Billing/UB-04 Flashcards

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10403348744How many diagnosis can be listed on the UB-0410 diagnosis0
10403348745What is listed on a Charge Description Master-All services and items provided to the patient -procedure code -hospital charges1
10403348746What are revenue codesThey describe the specific accommodation and/or providing necessary support to the primary actives or operation charges2
10403348747What is Ambulatory Surgical UnitA designated center where outpatient services are offered to patient3
10403348748Define Cost OutlierA case that cannot be assigned an appropriate DRG because of an atypical situation4
10403348749What are the types of of facilities that would use UB-04 claimRehab Center, Outpatient/Inpatient Care, Skill Nursing Facility, Emergency Care, Urgent Care, Ambulatory Center5
10403348750Who maintains the ambulatory payment classification (APC) listThe Centers of Medicare and Medicaid (CMS)6
10403348751Ambulatory Payment Classifications (APC) system bases payment onProcedure7
10403348752What is Prospective Payment SystemEstablish payment rates to hospitals prospectively before services are rendered8
10403348753How often is a patient control number (PCN) assigned to patient in the hospitalEach hospital admission9
10403348754Define 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 disorder10
10403348755Define 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 disorder11
10403348756Majority of hospital reimbursement comes fromInsurance Company12
10403348757When will a hospital bill for patient servicesAfter the patient is discharged and form is signed by a physician13
10403348758What is the method of reimbursement that pays hospitals a fixed rate per day for all servicesPer Diem type14
10403348759What does OPPS stand forOutpatient Prospective Payment System15
10403348760Diagnosis Related Group (DRG) system is a type of ...Prospective Payment System16
10403348761What physician is primarily responsible for patient's care while in the hospitalAn Attending Physician17
10403348762Referring to Diagnosis Related Group(DRG), what does CC used to indicteComplication or Comorbidities18
10403348763In the time that the patient was admitted to the hospital is unknown, which code would be used (on locator 13)Code 9919

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