Help

Options

focusNode

Didn't know it?
click below

Knew it?
click below

Don't Know

Remaining cards (0)

Know

retry

shuffle

restart

0:00

Embed Code - If you would like this activity on your web page, copy the script below and paste it into your web page.

Normal Size Small Size show me how

mod 150 theory 3

theory test

Question	Answer
A PERSON CAN LIVE WITHOUT A SPLEEN	TRUE
THE MEDIASTINUM IS LOCATED BETWEEN THE LUNGS	TRUE
THE STEM CELL HARVESTING IN 38205 IS THE COLLECTION OF STEM CELLS FROM THE BONE MARROW	FALSE
THE UPPER JUGULAR GROUP OF LYMPH NODES ARE LOCATED IN THE GROIN	FALSE
THE DIAPHRAGM IS A WALL OF MUSCLE THAT SEPARTES THE THORACIC AND ABDOMINAL CAVITIES	TRUE
THERE IS MORE CHANCE FOR ADVANCEMENT WORKING IN A HOSPITAL FACILITY THAN IN A PRIVATE PHYSICIAN'S OFFICE	TRUE
BECAUSE OF THE DIVERSITY IN REIMBURSEMENT METHODS IT IS VERY IMPORTANT THAT THE INSURANCE BILLING SPECIALIST HAVE BASIC KNOWLEDGE OF INSURANCE PROGRAMS	TRUE
WHEN A MANAGED CARE PATIENT IS ADMITTED FOR A NONEMERGENCY TO A HOSPITAL WITHOUT A MANAGED CARE CONTRACT THE MANAGED CARE PROGRAM NEEDS TO BE NOTIFIED BY THE HOSPITAL WITHIN 48 HOURS	FALSE
EMERGENCY DEPARTMENT CHARGES ARE BILLED ALONG WITH THE INPATIENT STAY ON THE CMS-1500 CLAIM FORM	FALSE
WHEN ADMITTED AS A WORKERS COMP CASE THE PATIENT WILL NOT HAVE AN INSURANCE CARD	TRUE
THE PHYSICIAN'S OFFICE USES ICD-9-CM VOL. 1,2,3 TO CODE DIAGNOSES AND PROCEDURES	FALSE
SURGICAL PROCEDURES PERFORMED IN THE HOSPITAL OPERATING ROOM ARE BILLED BY THE HOSPITAL BILLING DEPARTMENT	FALSE
ELECTIVE SURGERIES ARE DEFERRABLE	TRUE
A PATIENT HAS A RIGHT TO REQUEST AN ITEMIZED BILL FROM A HOSPITAL STAY WITH NO COST TO THE PATIENT	TRUE
ON THE UB-04 CLAIM FORM THE PATIENT'S DATE OF BIRTH SHOULD BE ENTERED USING 6 DIGITS IN BLOCK 14	FALSE
ON THE UB-04 CLAIM FORM IN FIELD 17 CODE 20 EXPIRED IS USED TO INDICATE THE PATIENT'S DISCHARGE STATUS	TRUE
INFORMATION SUCH AS CONDITION IS EMPLOYMENT RELATED LISTED IN FIELDS 18 THROUGH 28 OF THE UB-04 CLAIM FORM IS CALLED A CONDITION CODE.	TRUE
THE DRG IS ASSIGNED USING AN AUTOMATED SYSTEM CALLED THE DRG SELECTOR	FALSE
THE PURPOSE OF THE DRG-BASED SYSTEM IS TO HOLD DOWN RISING HEALTH CARE COSTS	TRUE
THE GROUPER DIFFERENTIATES BETWEEN CHRONIC AND ACUTE CONDITIONS	FALSE
AMBULATORY PAYMENT CLASSIFICATIONS ARE BASED ON DIAGNOSES	FALSE
THE__MANUFACTURES MOST BLOOD CELLS	BONE MARROW
THE SPLEEN IS COMPOSED OF THIS MATERIAL THAT ALSO SURROUNDS VEINS AND ARTERIES	LYMPH TISSUE
__IS A MALIGNANT DISEASE OF THE BONE MARROW IN WHICH EXCESSIVE WHITE BLOOD CELLS ARE PRODUCED	LEUKEMIA
MEDIASTINUM CODES ARE IDENTIFIED BY WHICH FACTOR	SURGICAL APPROACH
THIS TYPE OF LYMPHADENECTOMY IS THE REMOVAL OF THE LYMPH NODES GLANDS AND SURROUNDING TISSUES	RADICAL
THE LYMPH NODE EXCISION CATEGORY CODES ARE BASED ON WHAT TWO THINGS	METHOD AND LOCATION
HOW MANY CATEGORIES ARE LOCATED IN THE MEDIASTINUM SUBHEADING	4
A DIPHRAGMATIC HERNIA IS ALSO KNOWN AS A	ESOPHAGEAL HIATAL HERNIA
THIS BONE MARROW IS TAKEN FROM A CLOSE RELATIVE SO THERE IS GENETIC SIMILARITY	ALLOGENIC
THIS BONE MARROW IS COLLECTED FROM THE PATIENT AND LATER TRANSPLANTED OR REINFUSED BACK INTO THE PATIENT FROM WHOM IT CAME	AUTOLOGENIC
WHAT WORD DESCRIBES A LYMPHADENECTOMY IN WHICH ONLY THE LYMPH NODES ARE REMOVED	LIMITED
WHAT IS IT CALLED WHEN THE DIAPHGRAM IS OUT OF NORMAL POSITION AND HAD MOVED UP FARTHER INTO THE THORACIC CAVITY	EVENTRATION
CONFIDENTIAL INFORMATION ABOUT PATIENT'S SHOULD NEVER BE DISCUSSED WITH	CO-WORKERS, FAMILY, FRIENDS
WHEN CRITERIA ARE USED BY REVIEW AGENCY FOR ADMISSION SCREENING THIS IS REFERRED TO AS	AEP'S
ONE CRITERION THAT NEEDS TO BE MET TO CERTIFY SEVERITY OF ILLNESS(SI) IN AN ADMISSION IS	ACTIVE UNCONTROLLED BLEEDING
A PATIENT IS CONSIDERED AN INPATIENT TO THE HOSPITAL ON ADMISSION	FOR AN OVERNIGHT STAY
WHEN A PATIENT WHO HAS A MANAGED CARE CONTRACT IS ADMITTEDTO A HOSPOTAL FOR AN EMERGENCY THE MANAGED CARE PROGRAM NEEDAS TO BE NOTIFIED WITHIN	48 HOURS
THE RULE STATING THAT WHEN A PATIENT RECIEVES OUTPATIENT SERVICES WITHIN 72 HOURS OF ADMISSION THEN ALL OUTPATIENT SERVICES ARE COMBINED WITH INPATIENT SERVICES AND BECOME PART OF THE DIAGNOSTIC RELATED GROUP RATE FOR ADMISSION IS CALLED THE	72 HOUR RULE
WHAT ORGANIZATION IS RESPONSIBLE FOR ADMISSION REVIEW READMISSION REVIEW PROCEDURE REVIEW DAY AND COST OUTLIER REVIEW DRG VALIDATION AND TRANSFER REVIEW	QIO
READMISSION REVIEW OCCURS IF THE PATIENT IS READMITTED WITHIN	7 DAYS OF DISCHARGE
A REVIEW FOR ADDITIONAL MEDICARE REIMBURSEMENT IS CALLED	DAY OUTLIER REVIEW
THE SIGNIFICANT REASON FOR WHICH A PATIENT IS ADMITTED TO THJE HOSPITAL IS CODED USING THE	PRINCIPAL DIAGNOSIS
CLASSIFICATIONS OF SURGICAL AND NON SURGICAL PROCEDURES AND MISCELLANEOUS THERAPEUTIC AND DIAGNOSTIC PROCEDURES ARE FOUND IN	ICD-9 VOLUME 3
ICD-9-CM PROCEDURE CODES CONTAIN	AT LEAST TWO DIGITS, TWO TO FOUR DIGITS
THE CODEBOOK USED TO LIST PROCEDURES ON OUTPATIENT HOSPITAL CLAIMS IS	CPT
THE PERSON WHO INTERVIEWS THE PATIENT AND OBTAINS PERSONAL AND INSURANCE INFORMATION AND THE ADMITTING DIAGNOSIS IS A /AN	ADMITTING CLERK
DAILY PROGRESS NOTES ARE ENTERED ON THE PATIENTS MEDICAL RECORD BY AN	NURSE
THE CLAIM FORM TRANSMITTED TO THE INSURANCE CARRIER FOR REIMBURSEMENT FOR INPATIENT HOSPITAL SERVICES IS CALLED A	DETAIL STATEMENT
THE HOSPITAL INSURANCE CLAIM FORM MUST ALWAYS BE REVIEWED BY THE	INSURANCE BILLING EDITOR
PROFESSIONAL SERVICES BILLED BY THE PHYSICIAN INCLUDE	HOSPITAL CONSULTATIONS, HOSPITAL VISITS, EMERGENCY DEPARTMENT VISITS
IF A PATIENT IS BEING ADMITTED TO A HOSPITAL AND REFUSES ALL PREADMISSION TESTING BUT A BILL IS SENT TO THE INSURANCE CARRIER FOR THESE SERVICES ANYWAY THIS IS CALLED	PHANTOM CHARGES
A TENTATIVE DRG IS BASED ON	ADMISSION DIAGNOSIS SCHEDULED PROCEDURES AGE AND SECONDARY DIAGNOSIS
HOW MANY MAJOR DIAGNOSTIC CATEGORIES (MDC'S) ARE THERE IN THE DRG-BASED SYSTEM	25
ON THE UB-04 CLAIM FORM CODE 6 IN FIELD 15 IS USED TO INDICATE	SOURCE OF ADMISSION
THE CLAIM FORM USED FOR THE OUTPATIENT HOSPITAL SERVICES IS THE	UB-04 CLAIM FORM
LAPAROSCOPIC SPLENECTOMY	38120
BONE MARROW BIOPSY BY NEEDLE ASPIRATION	38221
BIOPSY OF A LYMPH NODE BY FINE NEEDLE ASPIRATION WITHOUT IMAGE GUIDANCE	10021
EXCISION OF A MEDIASTINAL TUMOR	39220
THE MEDIASTINUM CATEGORY CODE RANGE IS	39000-39499
SUPRAHYOID LYMPHADENECTOMY	38700
THE PHYSICIAN PERFORMS A COMPLETE AXILLARY LYMPHADENECTOMY	38745
IMBRICATION OF DIAPHGRAM FOR EVENTRATION TRANSABDOMINAL NONPARALYTIC	39545
THE PHYSICIAN REPAIRS A LARGE LACERATION OF THE DIAPHGRAM THAT OCCURED DURING A CARE ACCIEDENT FROM THE SEAT BELT THE PATIENT WAS WEARING THROUGH TRANSABDOMINAL APPROACH	39501
THE PHYSICIAN PERFORMS AN EXTENSIVE DRAINAGE OF A LYMPH NODE ABSCESS	38305
PAT IS AN ABBR.	PREADMISSION TESTING
THE HOSPITAL DEPARTMENT CONDUCTS AN ADMISSION AND CONCURRENT REVIEW ON ALL CASES AND PREPARES A DISCHARGE PLAN TO DETERMINE WHETHER ADMISSION ARE JUSTIFIED IS CALLED THE__DEPARTMENT	UTILIZATION REVIEW
THE ___CODING SYSTEM IS USED TO LIST PROCEDURAL CODES FOR MEDICARE PATIENTS ON THE HOSPITAL INSURACE CLAIMS THAT ARE NOT IN THE CPT BOOK	HCPCS
THE __IS THE CLINICAL RESUME FOR FINAL PROGRESS NOTE	DISCHARGE SUMMARY
THE UNIFORM BILL CLAIM FORM IS CONSIDERED A __STATEMENT	SUMMARY
MEDICARE PROVIDES STOPP LOSS CALLED ___IN IT REGULATIONS	OUTLIERS
THE ABBR OF THE PHRASE THAT INDICATES WHEN CLAIMS ARE SUBMITTED ELECTRONICALLY IS	EDI
ON THE UB-04 CLAIM FORM THE SECOND DIGIT OF THE FOUR DIGIT BILL CODE IN FIELD 4 INDICATES THE TYPE OF	FACILITY
ON THE UB-04 CLAIM FORM 1553 LISTED AS THE HOUR OF ADMISSION INDICATES THAT THE PATIENT WAS ADMITTIED AT	3:53 PM
A FOUR DIGIT CODE CORRESPONDING TO EACH NARRATIVE DESCRIPTION OR STANDARD ABBREVIATION THAT IDENTIFIES A SPECIFIC ACCOMMODATION ANCILLARY SERVICE OR BILLING CALCULATION RELATED TO SERVICES BILLED IS CALLED A __ CODE	REVENUE
THE DRG BASED SYSTEM CHANGED HOSPITAL REIMBURSEMENT FROM A FEE FOR SERVICE SYSTEM TO A LUMP SUM FIXED FEE PAYMENT BASED ON THE __ RATHER THAN ON TIME SERVICES RENDERED	DIAGNOSIS
CASES THAT CANNOT BE ASSIGNED AN APPROPRIATE DRG BECAUSE OF ATYPICAL SITUATIONS ARE CALLED	COST OUTLIERS
AN UNETHICAL PRACTICE OF UPCODING A PATIENTS DRG CATEGORY FOR A MORE SEVERE DIAGNOSIS TO INCREASE REIMBURSEMENT IS CALLED	DRG CREEP
__IS A PREEXISTING CONDITION THAT WILL BECAUSE OF ITS EFFECT ON THE SPECIFIC PRINCIAPL DIAGNOSIS REQWUIRE MORE INTENSIVE THERAPY OR CAUSE AN INCREASE IN LENGTH OF STAY BY AT LEAST 1 DAY IN APPROX 75 % OF CASES	COMORBIDITY
WHAT IS QIO AN ABBR FOR	QUALITY IMPROVEMENT ORGANIZATION
WHAT IS THE DOCUMENT THAT NEEDS TO BE COMPLETED AND SIGNED BY THE PHYSICIAN AFTER A PATIENT LEAVES THE HOSPITAL BEFORE THE HOSPITAL CAN RECIEVE REIMBURSEMENT	DISCHARGE SUMMARY
WHAT ARE THE SEVEN VARIABLES THAT ARE RESPONSIBLE FOR DRG CLASSIFICATIONS	PRINCIPAL DIAGNOSIS, SECONDARY DIAGNOSIS, SURGICAL PROCEDURES, COMORBIDITY AND COMPLICATIONS , AGE AND SEX, DISCHARGE STATUS, TRIM POINTS
WHAT DOES THE ABBR. CC INDICATE WHEN USED WITH DRG'S	COMORBIDITY AND COMPLICATIONS

Created by: moviegrl

"Know" box contains:
Time elapsed:
Retries: