A Fordney 16
Quiz yourself by thinking what should be in
each of the black spaces below before clicking
on it to display the answer.
Help!
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| Confidential information about patients should never be discussed with | show 🗑
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| show | AEPs
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| One criterion that needs to be met to certify severity of illness (SI) in an admission is | show 🗑
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| show | administration and monitoring of intravenous medications
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| show | for an overnight stay
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| show | 48 hours
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| show | 72-hour rule
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| show | PRO
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| Readmission review occurs if the patient is readmitted within | show 🗑
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| A review for additional Medicare reimbursement is called | show 🗑
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| The significant reason for which a patient is admitted to the hospital is coded using the | show 🗑
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| Classifications of surgical and nonsurgical procedures and miscellaneous therapeutic and diagnostic procedures are found in | show 🗑
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| ICD-9-CM procedure codes contain | show 🗑
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| The code book used to list procedures on outpatient hospital claims is | show 🗑
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| The person who interviews the patient and obtains personal and insurance information and the admitting diagnosis is a/an | show 🗑
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| Daily progress notes are entered on the patient's medical record by a | show 🗑
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| show | UB-92
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| The form that accompanies the billing claim form for inpatient hospital services is called a | show 🗑
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| show | insurance billing editor
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| show | hospital consultations, hospital visits and emergency department visits
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| 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 | show 🗑
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| show | admission diagnosis, scheduled procedures, age, and secondary diagnosis
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| How many major diagnostic categories (MDCs) are there in the DRG-based system | show 🗑
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| show | source of admission
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| The claim form used for outpatient hospital services is the | show 🗑
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| show | preadmission testing
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| The hospital department that conducts an admission and concurrent review on all cases and prepares a discharge plan to determine whether admissions are justified is called the __ department | show 🗑
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| The ___ coding system is used to list procedural codes for Medicare patients on hospital insurance claims that are not in the CPT book | show 🗑
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| show | discharge summary
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| The Uniform Bill claim form is considered a ___ statement | show 🗑
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| show | outliers
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| The abbreviation of the phrase that indicates when claims are submitted electronically is | show 🗑
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| On the UB-92 claim form, the first digit of the three-digit bill code in block 4 indicates the type of ____ | show 🗑
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| On the UB-92 claim forn, the number of inpatient days is indicated in block 7; these are referred to as ___ days | show 🗑
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| show | 3:53 pm
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| A three- or 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 | show 🗑
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| 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 or services rendered | show 🗑
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| show | cost outliers
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| An unethical pratice of upcoding a patient's DRG category for a more severe diagnosis to increase reimbursement is called ___ | show 🗑
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| show | comorbidity
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Created by:
leemiller
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