Save
Busy. Please wait.
Log in with Clever
or
show password
Forgot Password?
Don't have an account?  Sign up 
Sign up using Clever
or
Username is available taken
show password


Make sure to remember your password. If you forget it there is no way for StudyStack to send you a reset link. You would need to create a new account. Your email address is only used to allow you to reset your password. See our Privacy Policy and Terms of Service.

Already a StudyStack user? Log In

Reset Password
Enter the associated with your account, and we'll email you a link to reset your password.
focusNode
Didn't know it?
click below
 
Knew it?
click below
Don't Know
Remaining cards (0)
Know
0:00
edit
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

Terms

QuestionAnswer
Ancillary charges include: Medical, surgical and central supplies.
Routine charges include: Oxygen
Which of the following is not a business office function: Discharge planning
Patient statements are generated after: RA's are posted. (Remittance Advice)
The payment method in which hospitals are paid based on the actual costs of treating each patient is: Cost-based reimbursement
Supports & shapes the body, protects the internal organs, forms some blood cells & store minerals: Skeletal System
True or False: Acute care facilities provide services for patients who do not require an overnight stay treatment: False
True or False: An Ambulatory surgery center treats in patients: False
True or False: CMS is the Abbreviation for Centers for Medicare and Medicaid Services: True
True or False: Clinics are outpatient facilities: True
True or False: The attending Physician is the doctor who is primarily responsible for the care of the patient from the hospital admission through discharge or transfer: True
True or False: The admitting physician is the doctor who is primarily responsible for the care of the patient from the hospital admission through discharge or transfer: False
CDM is the abbreviation for change description monitor: False
True or False: The charge description master is a facility's list of the codes and charges for its services: True
True or False: A charge explode occurs when the charge description master is updated each year: False
True or False: The daily coinsurance rate is equal to 75% of the inpatient hospital deductible: False
True or False: Medicare Part B pays for Coinsurance days: False
True or False: COB is the abbreviation for Coordination of benefits: True
True or False: Local Medical review policies (LMRPS) contain information about Medicare services: True
True or False: Medicare Part A Covers hospitalization but not hospice care: False
True or False: Medicare Administrative Contractors are gradually replacing fiscal Intermediaries and carriers: True
True or False: MAC is the abbreviation for Medicare Administrative Contractor: True
True or False: A modifier is a 10-digit number that can be added to CPT procedure codes: False
True or False: Unlisted procedure codes are used for new services or procedures that haven't been assigned a CPT code yet: True
True or False: HCPCS is the abbreviation for Health Care Common Product Coding System: False
True or False: The HCPCS code set has two levels, CPT codes Level I and supply codes (Level II): True
True or False: The ICD 10 CM is a listing of diagnosis codes used to classify diseases and injuries: True
Which of the following tasks is not performed by patient account specialist: Transcription of medical records.
Which type of facility provides continuous Professional Medical care for patients: Acute care facility
Which type of facility provides daily care for Inpatients who require medical care or rehabilitation services: Skilled Nursing facility
The Champva Program primarily covers: Veterans with permanent service related disabilities.
True or False: A medical EMS is a situation in which delaying treatment of the patient would lead to a significant increase in the threat to life or body part: True
True or False: In Medicare, when beneficiary who is working is covered by an employer's group health plan, the medicare secondary payer rules do not apply: False
In FL 8, which is the correct format for entering a patient's name that has a prefix, such as Van Buren: VanBuren
True or False: CORF is the abbreviation for comprehensive outpatient rehabilitation facility. True
True or False: A patient's admission date may or may not be the same as the from date in the statement covers period field. True
True or False: The purpose of a patient control number is to make locating a patient account quicker when posting payments: True
Inpatient status: 23 or more hours
Outpatient status: 23 or less
Birth day rule The parent with the earliest birthday is the primary insurance.
List the right order for Insurance, Doctor and Patient: Patient, Doctor or Provider and then Insurance
True or False: Hospital payment for a DRG is calculated by Multiplying the DRG weight by the hospital's base rate: True
Which of the following is not a level of severity: Minor CC
Number assigned to a patient that is used for multiple episodes of care at a facility: Medical Record Number
In FL 8, which is the correct format for entering a patient's name that has an apostrophe, such as O'connor: OConnor
To correctly report the dates of service in FL 6, the MMDDYY for is required. Which of the following is an example of a correct entry: 010206
True or False: A patient control number is permanently assigned to a patient and used for all episodes of care at that facility: False
The Outpatient Prospective Payment System (OPPS) is used for outpatient services including most Medicare Part B,C and D services: False
On a pater UB-04, if the patient's complete date of birth has not been obtained, FL (Patient Birth Date) should be completed with whatever information is available: False
Which payer action calls for a corrected and resubmitted claim: Claim rejection
True or False: Medicare's portion of the APC payment is equal to the APC payment amount minus the patient's coinsurance/copayment: True
True or False: The TOB code had five Digits False
True or False: A clean claim must be paid or denied by Medicare by the thirtieth day after its receipt: True
True or False: Elective Admissions are often scheduled in advance: True
True or False: The Outpatient Code editor used for Medicare Outpatient claims edits the patient's age to ensure it is consistent with the diagnosis: True
DRG Weight Reflects: How resource-intensive the DRG is relative to other DRGs
True or False: If the patient's Insurance Identifier is not the same as the insured's the patient's Insurance Identifier is entered in FL 8a: True
True or False: The date a patient is admitted for impatient care or the start of care date for home health services is called the admission date: True
True or False: TOB is the abbreviation for type of bill: True
True or False: A denied claim cannot be appealed: False
True or False: A sole community hospital is the only source of inpatient services in a given geographic area: True
True or False: An elective admission is usually a medical Emergency: False
True or False: The term working aged person in Medicare means a patient who is the age range 40-65: False
In which type of admission is the health of the patient not in jeopardy: Elective
True or False: A continuing claim is the first in a series of claims to be submitted: False
Which type of admission indicates the patient's condition is severe, life threatening, or potentially disabling: Emergency
True or False: APC is the abbreviation for Ambulatory Payment Classification: True
Which software program is used to calculate payments: Pricer
True or False:Condition Code 10 (Patient and/or spouse is employed but No EGHP Coverage Exists) is used to report that either the patient or spouse has group health Insurance: False
Condition code 18 (Maiden Name Retained) is an example of which group of condition codes: Patient condition codes
True or False: When a continuing claim is submitted, the provider expects that subsequent bills will be sent: True
True or False: CORF's are designed to provide inpatient care under a physician's supervision: False
Created by: rochelle1977
Popular Medical sets

 

 



Voices

Use these flashcards to help memorize information. Look at the large card and try to recall what is on the other side. Then click the card to flip it. If you knew the answer, click the green Know box. Otherwise, click the red Don't know box.

When you've placed seven or more cards in the Don't know box, click "retry" to try those cards again.

If you've accidentally put the card in the wrong box, just click on the card to take it out of the box.

You can also use your keyboard to move the cards as follows:

If you are logged in to your account, this website will remember which cards you know and don't know so that they are in the same box the next time you log in.

When you need a break, try one of the other activities listed below the flashcards like Matching, Snowman, or Hungry Bug. Although it may feel like you're playing a game, your brain is still making more connections with the information to help you out.

To see how well you know the information, try the Quiz or Test activity.

Pass complete!
"Know" box contains:
Time elapsed:
Retries:
restart all cards