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lesson 16

medical bllling & coding

QuestionAnswer
Services list with the corresponding HCPCS and revenue codes can be found on the CDM
Which form locator describes the specific ancillary charges or accommodations? 42
On the CMS-1450, what should you enter for inpatients in form locator 46? Days
A hospital's CDM hasn't been changed for the past year. Which one of the following outcomes could result for this? Overpayment of claims
If you need to find the reimbursement rates for outpatient care, you might use OPPS.
Which one of the following choices will eventually replace ICD-9-CM volume3? ICD-10-PCS
Which one of the following choices is not considered a major section for the UB-04? Payer information
Which one of the following choices is considered a major revenue code category on the UB-04? Physical therapy
Which one of the following choices represents the average resources used to provide inpatient treatment for specific diseases? Relative weight
Which one of the following form locators is NOT required by Medicare? Patient control number
Which one of the following physicians hold the primary responsibility for the patient's care while the patient is in the hospital? Attending
Which one of the following choices pays actual charges based on treatment given o a patient? Fee-for-service
Which one of the following choices can help a hospital determine which DRG should be assigned to a patient's account? Group
For reimbursement, Medicare determines a covered period for a patient by looking at which form locator? 17
In the type of bill code example of 0123, which number indicates the sequence of the bill for this hospitalization? 1
A disabled child has insurance through this father's employer. Which one of the following codes might be used on the CMS-1450 to indicate the relationship to the insurer? 22
A hospital's CDM hasn't been changed for the past year. Which one of the following outcomes could result from this? Overpayments of claims
Services listed with the corresponding HCPCS and revEnue codes can be found on the CDM
Created by: brownetta4