Week 5 Hospital Billing/UB-04 Flashcards

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