Ub 04 - Study guides, Class notes & Summaries

Multiple Choice Identify the choice that best completes the statement or answers the question. 1. Which of the following should a medical assistant instruct a patient to do before a scheduled pulmonary function test? a. Consume dairy products in limited amounts c. Undergo a nebulizer treatment 3 hr before the test begins. b. Refrain from using bronchodilators. d. Perform a cardiac stress test prior to arrival. 2. Which of the following should a medical assistant use whe...

3-Day Rule - ANSWER a requirement that all diagnostic or outpatient services furnished in connection with the principle admitting diagnosis within three days prior to the hospital admission are bundled with the inpatient services for Medicare billing 837I - ANSWER the American National Standards Institute transaction for an institutional claim; as a result of HIPAA, it is replacing the electronic UB-04. 837P - ANSWER a former American National Standards Institute transaction for a professi...

Medical Coding Training: CPC exam {124 QUESTIONS AND ANSWERS} Which statement below describes a medically necessary service? A. Performing a procedure/service based on cost to eliminate wasteful services. B. Using the least radical service/procedure that allows for effective treatment of the patient's complaint or condition. C. Using the closest facility to perform a service or procedure. D. Using the appropriate course of treatment to fit within the patient's lifestyle. - CORREC...

NHA CMAA UPDATED Exam Questions and CORRECT Answers Which of the following medical record filing systems protects patients privacy and allows for unlimited expansion in a high volume office? - Ans Numeric Which of the following forms is used to submit health insurance claims for inpatient services in a facility or hospital? - Ans UB-04 Which of the following is an example of an incidental disclosure? - Ans Having a sign-in sheet that includes a patient's name and provider Which of th...

3-Day Rule - ANSWER a requirement that all diagnostic or outpatient services furnished in connection with the principle admitting diagnosis within three days prior to the hospital admission are bundled with the inpatient services for Medicare billing 837I - ANSWER the American National Standards Institute transaction for an institutional claim; as a result of HIPAA, it is replacing the electronic UB-04. 837P - ANSWER a former American National Standards Institute transaction for a professi...

NHA CMAA Certification Exam Questions and CORRECT Answers When creating a reception area for a pediatric clinic, which of the following should the medical administrative assistant include? - Ans Artificial plants and floral arrangements for aesthetics Which of the following medical record filing systems protects patients privacy and allows for unlimited expansion in a high volume office? - Ans Numeric Which of the following forms is used to submit health insurance claims for inpatient se...

CPB Chapter 8Facility charges are reported on which claim form? A. UB-05 claim form B. CMS-1500 claim form C. UB-04 claim form D. Either CMS-1500 or UB-04 claim form - correct answer C. UB-04 claim form Response Feedback: The UB-04 claim form is used to report facility charges to the payer for reimbursement. Which transaction is NOT specified in the 5010 transaction standards? A. Claims B. Eligibility C. Acknowledgement for Healthcare Insurance D. Acknowledgeme...

What do Case Managers do? - ANSWER-Monitor high resource cases to ensure effective utilization What is HIM responsible for? - ANSWER-all pt medical records: transcribe, coding, release to biling, answer requests for documentation What is utilization management responsible for? - ANSWER-manage cases: services correct, on time What are the three types of utilization review? - ANSWER-Prospective, Concurrent, Retrospective Where can home health services be offered? - ANSWER-Home, Assist ...

CRCR Certification Actual Exam/ 205+ Qs & Ans/ . Terms like: A portion of the accounts receivable inventory which has NOT qualified for billing includes: - Answer: Charitable pledges What is required for the UB-04/837-I, used by Rural Health Clinics to generate payment from Medicare? - Answer: Revenue codes This directive was developed to promote and ensure healthcare quality and value and also to protect consumers and workers in the healthcare system. This directive is called - Answer...

What do Case Managers do? - Monitor high resource cases to ensure effective utilization What is HIM responsible for? - all pt medical records: transcribe, coding, release to biling, answer requests for documentation What is utilization management responsible for? - manage cases: services correct, on time What are the three types of utilization review? - Prospective, Concurrent, Retrospective Where can home health services be offered? - Home, Assist Living, neighbors: just not SNF nor Hospi...