Question 1

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

Accepted Answer

The answer of The type of bill for an inpatient...

Question 2

Condition codes utilize what FL numbers?

Accepted Answer

A)  14/15 
B)  18-28 
C)  18 
D)  31

Question 3

Assign appropriate Revenue Codes for the following:

HOLTER MONT (Holter Monitor)
EEG
EMG
PAP SMEAR

Accepted Answer

The answer of Assign appropriate Revenue Codes for the following:

HOLTER...

Question 4

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

Accepted Answer

A) True 
 B)False

Question 5

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.

Accepted Answer

A) True 
 B)False

Question 6

Revenue codes should be placed in what order?

Accepted Answer

A)  Alphabetic 
B)  Numeric, ascending 
C)  Numeric, descending 
D)  Order is not relevant

Question 7

Assign appropriate Revenue Codes for the following:

MED-SUR-GY/PVT
DRUGS/NONGENERIC DRUGS
IV THER/PHARM/SVC
LAB/HEMATOLOGY
CT SCAN/HEAD

Accepted Answer

The answer of Assign appropriate Revenue Codes for the following:

MED-SUR-GY/PVT
DRUGS/NONGENERIC...

Question 8

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

Accepted Answer

A) True 
 B)False

Question 9

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

Accepted Answer

The answer of Determine the appropriate type of bill for...

Question 10

Revenue Code 0450 designates services performed in the Emergency Department.

Accepted Answer

A) True 
 B)False

Question 11

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

Accepted Answer

The answer of The deductible for a primary insurance would...

Question 12

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

Accepted Answer

The answer of The admit time of 0259 be recorded...

Question 13

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

Accepted Answer

A) True 
 B)False

Question 14

A dirty claim refers to a claim that:

Accepted Answer

A)  has errors or omissions. 
B)  has stray marks or spills. 
C)  does not tell the truth. 
D)  does not report the services as performed.

Question 15

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

Accepted Answer

The answer of Assign the appropriate condition code (FL 18)...

Question 16

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.

Accepted Answer

The answer of Who would be the responsible party in...

Question 17

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

Accepted Answer

A) True 
 B)False

Question 18

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

Accepted Answer

A)  CMS-1500. 
B)  UB-04 (CMS-1450). 
C) Advance Beneficiary Notice (ABN). 
D)  Electronic media claims (EM
C) .

Question 19

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

Accepted Answer

The answer of Indicate the appropriate Type of Service that...

Question 20

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

Accepted Answer

A) True 
 B)False

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).