Question 1

What type of care is provided in an outpatient facility or setting?

Accepted Answer

A)  ambulatory 
B)  urgent 
C)  emergency 
D)  provider 
A)  ambulatory 
B)  urgent 
C)  emergency 
D)  provider A

Question 2

Which part of Medicare covers hospital charges?

Accepted Answer

A)  Part A 
B)  Part B 
C)  Part C 
D)  Part D
Hospitals must submit claims for reimbursement to Medicare Part 
A)  Part A 
B)  Part B 
C)  Part C 
D)  Part D
Hospitals must submit claims for reimbursement to Medicare Part A

Question 3

What department in a hospital is responsible for the organizing and maintaining of patient's medical records?

Accepted Answer

A)  patient registration department 
B)  emergency care department 
C)  health information management department 
D)  medical department 
A)  patient registration department 
B)  emergency care department 
C)  health information management department 
D)  medical department C

Question 4

Which is not a typical department of the hospital?

Accepted Answer

A)  housekeeping 
B)  food service 
C)  radiology 
D)  welfare 
A)  housekeeping 
B)  food service 
C)  radiology 
D)  welfare

Question 5

What is QIO the abbreviation for?

Accepted Answer

A)  Quality Improvement Organization 
B)  Quantity Information Organization 
C)  Quantity Interchange Order 
D)  Quality Information Order 
A)  Quality Improvement Organization 
B)  Quantity Information Organization 
C)  Quantity Interchange Order 
D)  Quality Information Order

Question 6

When Medicare changed the way hospitals were paid, the payment changed from a fee-for-service approach to the Medicare

Accepted Answer

A)  Payment Plan 
B)  Prospective Payment System 
C)  Revised Payment System 
D)  None of these 
A)  Payment Plan 
B)  Prospective Payment System 
C)  Revised Payment System 
D)  None of these

Question 7

What is an additional fee for services provided that may be charged in addition to hospital fees?

Accepted Answer

A)  professional fee 
B)  housekeeping fee 
C)  surgeon fee 
D)  health information fee 
A)  professional fee 
B)  housekeeping fee 
C)  surgeon fee 
D)  health information fee

Question 8

From the insurance perspective, a list of the three major steps in a patient's hospital stay does not include

Accepted Answer

A)  family visits 
B)  treatment 
C)  admission 
D)  discharge 
A)  family visits 
B)  treatment 
C)  admission 
D)  discharge

Question 9

Which of the following is urgently needed care (not emergency care)?

Accepted Answer

A)  spinal cord injury 
B)  heart attack 
C)  broken bone 
D)  stroke 
A)  spinal cord injury 
B)  heart attack 
C)  broken bone 
D)  stroke

Question 10

Why are electronic claims beneficial for billing purposes?

Accepted Answer

A)  it is the same as a paper form 
B)  they take precedence over paper claims 
C)  paid ten to fifteen days earlier 
D)  it automatically corrects errors 
A)  it is the same as a paper form 
B)  they take precedence over paper claims 
C)  paid ten to fifteen days earlier 
D)  it automatically corrects errors

Question 11

What term is used to describe conditions that develop after surgery and/or treatments that affect care during the hospitalization?

Accepted Answer

A)  complications 
B)  comorbidities 
C)  pre-existing conditions 
D)  complications and comorbidities 
A)  complications 
B)  comorbidities 
C)  pre-existing conditions 
D)  complications and comorbidities

Question 12

Which claim form is also known as the hospital paper claim form?

Accepted Answer

A)  UB-04 
B)  UB-04 or CMS-1450 
C)  837I 
D)  UB-04 or 837I 
A)  UB-04 
B)  UB-04 or CMS-1450 
C)  837I 
D)  UB-04 or 837I

Question 13

Which of the following is used for Medicare Part A reimbursement?

Accepted Answer

A)  CMS-1500 
B)  UB-40 
C)  837I 
D)  UB-92 
A)  CMS-1500 
B)  UB-40 
C)  837I 
D)  UB-92

Question 14

Which new system has Medicare adopted to better reflect the different severity of illness among patients who have the same basic diagnosis?

Accepted Answer

A)  RV 
B)  MS-DRG 
C)  RB 
D)  OPPS 
A)  RV 
B)  MS-DRG 
C)  RB 
D)  OPPS

Question 15

What term is also used to describe coexisting conditions that affect care during the hospitalization?

Accepted Answer

A)  complications 
B)  comorbidities 
C)  pre-existing conditions 
D)  complications and comorbidities 
A)  complications 
B)  comorbidities 
C)  pre-existing conditions 
D)  complications and comorbidities

Question 16

Which activity does at-home recovery care include?

Accepted Answer

A)  skilled nursing 
B)  massage 
C)  eating 
D)  wound care 
A)  skilled nursing 
B)  massage 
C)  eating 
D)  wound care

Question 17

The items to be billed are recorded on the hospital's charge description master file, usually called the

Accepted Answer

A)  charge ticket 
B)  charge master 
C)  master ticket 
D)  charge ticket or a charge master 
A)  charge ticket 
B)  charge master 
C)  master ticket 
D)  charge ticket or a charge master

Question 18

What types of facilities are designed to provide skilled nursing or rehabilitation services to help with recovery after a hospital stay?

Accepted Answer

A)  Skilled Nursing Facilities (SNF) 
B)  Long-Term Care Facilities 
C)  Hospital Emergency Rooms 
D)  Medical Departments 
A)  Skilled Nursing Facilities (SNF) 
B)  Long-Term Care Facilities 
C)  Hospital Emergency Rooms 
D)  Medical Departments

Question 19

Which payment system would be used to pay for a same-day surgery or procedure?

Accepted Answer

A)  OPPS 
B)  IPPS 
C)  ADL 
D)  DRG 
A)  OPPS 
B)  IPPS 
C)  ADL 
D)  DRG

Question 20

What is PRO the abbreviation for?

Accepted Answer

A)  Provider Reimbursement Order 
B)  Peer Review Organizations 
C)  Physician Reinforcement Order 
D)  Patient Review Organization 
A)  Provider Reimbursement Order 
B)  Peer Review Organizations 
C)  Physician Reinforcement Order 
D)  Patient Review Organization

What type of care is provided in an outpatient facility or setting?

Which part of Medicare covers hospital charges?

What department in a hospital is responsible for the organizing and maintaining of patient's medical records?

Which is not a typical department of the hospital?

What is QIO the abbreviation for?

When Medicare changed the way hospitals were paid, the payment changed from a fee-for-service approach to the Medicare

What is an additional fee for services provided that may be charged in addition to hospital fees?

From the insurance perspective, a list of the three major steps in a patient's hospital stay does not include

Which of the following is urgently needed care (not emergency care)?

Why are electronic claims beneficial for billing purposes?

What term is used to describe conditions that develop after surgery and/or treatments that affect care during the hospitalization?

Which claim form is also known as the hospital paper claim form?

Which of the following is used for Medicare Part A reimbursement?

Which new system has Medicare adopted to better reflect the different severity of illness among patients who have the same basic diagnosis?

What term is also used to describe coexisting conditions that affect care during the hospitalization?

Which activity does at-home recovery care include?

The items to be billed are recorded on the hospital's charge description master file, usually called the

What types of facilities are designed to provide skilled nursing or rehabilitation services to help with recovery after a hospital stay?

Which payment system would be used to pay for a same-day surgery or procedure?

What is PRO the abbreviation for?

From Patient to Payment Understanding Medical Insurance

Electronic Health Records, HIPAA, and Hitech: Sharing and Protectin

Patient Encounters and Billing Information

Diagnostic Coding

Procedural Coding

Payment Methods and Checkout Procedures

Health Care Claim Preparation and Transmission

Private Payersblue Cross and Blue Shield

Medicare

Medicaid

Tricare and Champva

Workers Compensation and Automobiledisability Insurance

Claim Processing, Payments, and Collections

Filters

Exam 14: Hospital Insurance

What type of care is provided in an outpatient facility or setting?

Which part of Medicare covers hospital charges?

What department in a hospital is responsible for the organizing and maintaining of patient's medical records?

Which is not a typical department of the hospital?

What is QIO the abbreviation for?

When Medicare changed the way hospitals were paid, the payment changed from a fee-for-service approach to the Medicare

What is an additional fee for services provided that may be charged in addition to hospital fees?

From the insurance perspective, a list of the three major steps in a patient's hospital stay does not include

Which of the following is urgently needed care (not emergency care)?

Why are electronic claims beneficial for billing purposes?

What term is used to describe conditions that develop after surgery and/or treatments that affect care during the hospitalization?

Which claim form is also known as the hospital paper claim form?

Which of the following is used for Medicare Part A reimbursement?

Which new system has Medicare adopted to better reflect the different severity of illness among patients who have the same basic diagnosis?

What term is also used to describe coexisting conditions that affect care during the hospitalization?

Which activity does at-home recovery care include?

The items to be billed are recorded on the hospital's charge description master file, usually called the

What types of facilities are designed to provide skilled nursing or rehabilitation services to help with recovery after a hospital stay?

Which payment system would be used to pay for a same-day surgery or procedure?

What is PRO the abbreviation for?

From Patient to Payment Understanding Medical Insurance

Electronic Health Records, HIPAA, and Hitech: Sharing and Protectin

Patient Encounters and Billing Information

Diagnostic Coding

Procedural Coding

Payment Methods and Checkout Procedures

Health Care Claim Preparation and Transmission

Private Payersblue Cross and Blue Shield

Medicare

Medicaid

Tricare and Champva

Workers Compensation and Automobiledisability Insurance

Claim Processing, Payments, and Collections

Filters