Billing UB-04
Quiz yourself by thinking what should be in
each of the black spaces below before clicking
on it to display the answer.
Help!
|
|
||||
|---|---|---|---|---|---|
| 2- Which payer action can be appealed | show 🗑
|
||||
| show | B ( Claim rejection)
🗑
|
||||
| show | B They have less than 10 full-time or equivalent employees and never send any kind of electronic health care transaction
🗑
|
||||
| show | D (11)
🗑
|
||||
| 6-Which of the following is not an advantage of EDI claim transmittal? | show 🗑
|
||||
| 7-Which of the following is not a common reason for a claim not to pass the clean claim requirements? | show 🗑
|
||||
| show | D ( Alphanumeric)
🗑
|
||||
| 9- The second digit in the type of bill code represents the | show 🗑
|
||||
| show | C ( Type of service)
🗑
|
||||
| 11- The fourth digit in the type of bill code represents the | show 🗑
|
||||
| 12- To correctly report the date of service in FL6, the MMDDYY format is required. Which of the following is an example of a correct entry? | show 🗑
|
||||
| 13- Number assigned to a patient that is used for multiple episodes of care at the facility | show 🗑
|
||||
| show | C ( Four)
🗑
|
||||
| 15- The number 1 as the second digit in the TOB code represents what place of service | show 🗑
|
||||
| show | D ( Inpatient (including Medicare Part A)
🗑
|
||||
| show | B ( Outpatient)
🗑
|
||||
| show | A ( Nonroutine discharge)
🗑
|
||||
| 19- If a patient's date of birth is March 8, 1951, is should be entered in FL10 as | show 🗑
|
||||
| show | B ( Urgent)
🗑
|
||||
| 21- which type of admission indicates the patient's condition is sever, life threatening or potentially disabling | show 🗑
|
||||
| show | A ( Elective)
🗑
|
||||
| show | C (Patients medical record number)
🗑
|
||||
| show | B ( 060410)
🗑
|
||||
| show | C ( Sanchez-Jones)
🗑
|
||||
| show | B ( OConnor)
🗑
|
||||
| 27- In FL: 8. which is the correct format for entering a patient's name that has a prefix, such as Van Buren? | show 🗑
|
||||
| 28- If the cold in FL14 (Type of Admission or Visit) is 4 (newborn) what Point of Origin for Admission of Visit code would be entered if the newborn was born outside of the hospital submitting the claim | show 🗑
|
||||
| show | D (Newborn)
🗑
|
||||
| 30-Conditon code 01 (military service related) is an example of which group of condition codes? | show 🗑
|
||||
| show | B ( Patient Condition codes)
🗑
|
||||
| 32- Conditin code E0 ( Change in Patien Discharge Status) is an example of which group of condition codes | show 🗑
|
||||
| 33- Condition code 18 (Maiden Name Retained ) is an exapmple of which group of condition codes | show 🗑
|
||||
| 34- Condition code 22 (patient on multiple drug regimen) is an example of which group of condition codes | show 🗑
|
||||
| show | D ( Claim change reason codes)
🗑
|
||||
| show | C ( Room Codes)
🗑
|
||||
| 37- Condition code 31 ((patient is a student - full time day) is an example of which group of condition codes. | show 🗑
|
||||
| 38- Whien either condition code 20 (Beneficiary requested billing) or 21 ( billing for denial notice) is reported, the services are known by the provider to be non-covered or exluded by medicare and the patient should have been issued a(n) | show 🗑
|
||||
| show | C ( Occurrence code)
🗑
|
||||
| show | B ( Occurrence code span)
🗑
|
||||
| 41- Occurrence code 02 (no-fault insurance involved) is an expample of which type of occurrence code | show 🗑
|
||||
| 42- Occurence code 40 ( scheduled date of admission) is an example of which type of Occurence code | show 🗑
|
||||
| 43- Occurence code 16 ( date of lat threapy ) is an example of which type of Occurence code | show 🗑
|
||||
| show | A ( Conditional payment)
🗑
|
||||
| show | C ( Date)
🗑
|
||||
| 46- Occurence code 11 (Onset of Symptoms/Illness) is ofter used with which of the following codes | show 🗑
|
||||
| 47 _ Medicare coinsurance amount in the first calendar year is billing period is a description of | show 🗑
|
||||
| show | D ( MSP value code)
🗑
|
||||
| 49- Value code A1 (Deductible Payer A) is used to report the amount to be applied by the provider to the patient's deductible for the indicated | show 🗑
|
||||
| 50- Which of the following is an MSP value code | show 🗑
|
||||
| 51- For hospitals, the total number of covered days reported with value code 80 (Covered Days) will not exceed | show 🗑
|
||||
| show | C ( The number of PT visits provided from the onset of tx through the billing period)
🗑
|
||||
| show | C (03.00)
🗑
|
||||
| 54 - In addition to value code 45 (Accident Hor), what other type of code must be entered to report the date of accident | show 🗑
|
||||
| show | A (0.00)
🗑
|
||||
| 56- The most commonly used revenue code for room charges is | show 🗑
|
||||
| 57- Revenue code 0292 9 Purchase of new DME) is an example of | show 🗑
|
||||
| 58- Revenue code 0352 (CT-body scan) is an example of | show 🗑
|
||||
| show | A ( Drugs incident to other diagnostic services)
🗑
|
||||
| 60- Which revenue code range represents accommodation revenue codes | show 🗑
|
||||
| 61- Revenue code 0171 (Nursery, Newborn - level 1) is an example of | show 🗑
|
||||
| show | D ( An accommodation code)
🗑
|
||||
| 63- Medicare does not require a detailed revenue code for | show 🗑
|
||||
| show | B ( Ascending numeric order by date of service)
🗑
|
||||
| 65- Revenue code series 18X (Leave of Absence) is an example of | show 🗑
|
||||
| show | A ( IV therapy/supplies)
🗑
|
||||
| 67- Ememergency room charges (045X) can be billed on | show 🗑
|
||||
| show | C ( A value code and an occurrence code)
🗑
|
||||
| 69- Which of the following is a subcatergory description under revenue code 032X (Radiology-Diagnostic) | show 🗑
|
||||
| 70- FL 44 on an inpatient claim contains | show 🗑
|
||||
| For claims other than medicare, which field contains the covered and noncovered charges for each revenue code? | show 🗑
|
||||
| show | A ( Line A)
🗑
|
||||
| show | C Y(yes), I informed consent
🗑
|
||||
| show | B ( W not applicable)
🗑
|
||||
| 75- Code 01 (spouse) is a choice for which of these form locators | show 🗑
|
||||
| 76- The health insurance claim number is entered in whihc of thes form locators | show 🗑
|
||||
| show | A (Geller-Brown)
🗑
|
||||
| show | A ( Social Security Number)
🗑
|
||||
| show | C (19)
🗑
|
||||
| 80- Which of the following is not an accurate description of a change from the UB-92 to the UB-04 claim form | show 🗑
|
||||
| 81- the correct format on the UB - 04 form for diagnosis code 425.4 | show 🗑
|
||||
| show | b. patient being evaluated postoperatively
🗑
|
||||
| show | b. comorbidities and complications
🗑
|
||||
| 84- The CMS-assigned UPIN had how many alphanumeric characters? | show 🗑
|
||||
| show | d. a physician other thena the attending and operating physician who treated the patiednt
🗑
|
||||
| show | a. R1 (Overflow Revenue Codes)
🗑
|
||||
| 87- In physician billing taxonomy codes are used to indicate | show 🗑
|
||||
| 88In hospital billing, taxonomy codes are used to indicate | show 🗑
|
||||
| 89- The letter U in UB-04 stands for uniform | show 🗑
|
||||
| show | false
🗑
|
||||
| show | false
🗑
|
||||
| 92- When a continuing claim is submitted, the provider expects that subsequent bills will be sent | show 🗑
|
||||
| show | FALSE
🗑
|
||||
| show | TRUE
🗑
|
||||
| show | TRUE
🗑
|
||||
| 96- Admitting diagnosis and principle diagnosis are always the same | show 🗑
|
||||
| show | False
🗑
|
||||
| show | True
🗑
|
||||
| show | False
🗑
|
||||
| show | True
🗑
|
||||
| 1- The NUBC is coordinated through | show 🗑
|
Review the information in the table. When you are ready to quiz yourself you can hide individual columns or the entire table. Then you can click on the empty cells to reveal the answer. Try to recall what will be displayed before clicking the empty cell.
To hide a column, click on the column name.
To hide the entire table, click on the "Hide All" button.
You may also shuffle the rows of the table by clicking on the "Shuffle" button.
Or sort by any of the columns using the down arrow next to any column heading.
If you know all the data on any row, you can temporarily remove it by tapping the trash can to the right of the row.
To hide a column, click on the column name.
To hide the entire table, click on the "Hide All" button.
You may also shuffle the rows of the table by clicking on the "Shuffle" button.
Or sort by any of the columns using the down arrow next to any column heading.
If you know all the data on any row, you can temporarily remove it by tapping the trash can to the right of the row.
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
Normal Size Small Size show me how
Created by:
swirlszz
Popular Medical sets