Exam 18: Hospital Billing and the UB-04

United States hospitals that contract with Blue Cross and Blue Shield organizations are referred to as:

The method or system of administration or management of an organization is referred to as:

The HIPAA Privacy Rule prohibits providers from talking to other providers about their patients.

TRICARE patients,in certain cases,must attain a _____ if a military treatment facility is not available.

The name for Medicare's acute care payment system is:

The general index of surgical procedures in ICD-9 Volume 3,is structured in ____________ order.

Name the five major hospital payers discussed in the book and explain how a health insurance professional can obtain the most recent claims completion guidelines for each.

Medicare Part A helps pay for:

List at least four elements that informed consent is typically based on:

When another individual has the authority to speak on a patient's behalf,that individual is often called a:

A nursing home cannot qualify as a skilled nursing facility (SNF).

The primary diagnosis is defined as the condition determined,after study,to be chiefly responsible for the patient's admission to the hospital.

Many states base Medicaid reimbursement for hospital inpatient services on a PPS that includes DRGs and:

Privacy and confidentiality issues are equally as important in hospitals as they are in physicians' offices.

To take the RHIT examination,an individual must acquire a 4-year college degree in health sciences.

Define "principal diagnosis" as defined in the Uniform Hospital Discharge Data Set (UHDDS).

The process by which a fully informed patient can participate in choices about his or her healthcare is called:

ICD-10-PCS codes contain seven characters,which can be numbers or letters.

When hospitals provide all levels of care,they are referred to as:

A Medicaid payment adjustment that reflects patient demographics,diagnostic and treatment information,and total charges is referred to as: