Exam 4: UB-04 Overview CMS-1450

The type of bill for an inpatient hospital claim, admitted and discharged on the same claim would be ________.

Condition codes utilize what FL numbers?

Assign appropriate Revenue Codes for the following: HOLTER MONT (Holter Monitor) EEG EMG PAP SMEAR

If a patient has both Medicare and Medicaid coverage, then Medicare would be the primary insurance and Medicaid would be the secondary insurance.?

When a 19-year-old male arrives for services indicating that his mother should be billed for the services, his mother should be listed as the guarantor/responsible party.

Revenue codes should be placed in what order?

Assign appropriate Revenue Codes for the following: MED-SUR-GY/PVT DRUGS/NONGENERIC DRUGS IV THER/PHARM/SVC LAB/HEMATOLOGY CT SCAN/HEAD

The revenue code categories utilized for professional services would be Revenue Code Categories 094X-098X.

Determine the appropriate type of bill for an Inpatient Hospital claim for Late charges only.

Revenue Code 0450 designates services performed in the Emergency Department.

The deductible for a primary insurance would be entered in what form locator field and in what format?

The admit time of 0259 be recorded in FL 13 as _______.

The providing physician information is located on FL 76-79.

A dirty claim refers to a claim that:

Assign the appropriate condition code (FL 18) for a patient who is homeless and does not have a permanent address.

Who would be the responsible party in the following circumstances: A 7-year-old child admitted for pneumonia is accompanied by her mother. She currently lives with her mother; however, she has insurance coverage through her father.

When a claim submitted is employment related, it is designated as a condition code.

The claim form that is universally accepted to submit charges performed by the facility is known as:

Indicate the appropriate Type of Service that should be entered in FL 4 for Inpatient Swing Bed, First Claim.

Professional services may not be billed on the UB-04 (CMS-1450).