Hospital Billing/ UB-04 (Week 5) Flashcards

10377576893	How many diagnosis can be listed on the UB-04 claim form?	10 diagnosis	0
10377577867	What is listed on a Charge Description Master?	Procedure code, Procedure of Services description, charge	1
10377579523	What are revenue codes?	Codes that identify the hospital performs outpatient services	2
10377580236	Define Cost Outlier	Case that cannot be assigned an appropriate DRG	3
10377583244	What is the software program that allows a facility to calculate its Diagnosis Related Group payment group?	Grouper	4
10377583894	Who maintains the Ambulatory Payment Classification list?	[CMS] Centers for Medicare and Medicaid services	5
10377586305	Ambulatory Payment Classification system bases payment on.....	Procedures	6
10377587029	What is Prospective Payment System?	The method of reimbursement that establishes the rat of payment to a hospital before service are rendered	7
10377589623	How often is a patent control number assigned to a patent in the hospital?	At each admission	8
10377590149	Define comorbidity	Preexisting condition that will require intensive therapy	9
10377593683	What are the types of facilities that would use UB-04 claim form?	Hospitals, Rehabilitation centers, outpatients surgical centers	10
10377597008	Majority of hospital reimbursement comes from?	Insurance companies	11
10377599447	What is an Ambulatory surgical Unit	A department within the hospital performs outpatient service	12
10377600674	When will a hospital bill for patient services?	After the discharge paperwork is completed and signed by the physician	13
10377603929	What is the method of reimbursement that pays hospitals a fixed rate day for all services?	Per Diem	14
10377604600	What does OPPS stand for?	Outpatients prospective payment system	15
10377605573	Diagnosis Related Group system is a type of?	Prospective payment system	16
10377608054	What physician primarily responsible for patients care while int he hospital?	Attending Physician	17
10377609227	Referring to Diagnosis Related Group, what does CC used to indicate?	Complications and commodities	18
10377610316	IF the time that the patient was admitted tot he hospital is unknown, which code would be used.	Code 99	19