Billing UB-04
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| 2- Which payer action can be appealed | show 🗑
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| show | B ( Claim rejection)
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| show | B They have less than 10 full-time or equivalent employees and never send any kind of electronic health care transaction
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| 5- How many unlabeled form locators does the UB-04 have? | show 🗑
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| 6-Which of the following is not an advantage of EDI claim transmittal? | show 🗑
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| show | C ( Incorrect provider address)
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| show | D ( Alphanumeric)
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| 9- The second digit in the type of bill code represents the | show 🗑
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| show | C ( Type of service)
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| show | B ( Bill frequency)
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| 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 🗑
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| show | C (Medical record number)
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| show | C ( Four)
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| 15- The number 1 as the second digit in the TOB code represents what place of service | show 🗑
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| 16- The number 1 as the third digit in the TOB code represent what type of service | show 🗑
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| 17- The number 3 as the third digit in the TOB code represent what type of service | show 🗑
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| 18- Which of the following is not a basic category of patient dischare status | show 🗑
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| show | C ( 03081951)
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| show | B ( Urgent)
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| show | C ( Emergency)
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| show | A ( Elective)
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| 23- Which of the following types of information is not part of the patient information section on the UB-04 claim form? | show 🗑
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| 24- If an admission date is June 4, 2010, is should be entered in the FL 12 as | show 🗑
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| 25- In FL 8, which is the correct format for entering a patient's name that is hyphenated, such as Sanchez-Jones | show 🗑
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| 26- In FL 8, which is the correct format for entering a patient's name that has an apostrophe, such as O'Connor? | show 🗑
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| show | A ( VanBuren)
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| show | C (6)
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| 29- FL 15 (Point of Orgin for Admission or Visit) has two coding structures, each with it own set of codes. What type of admission has its own set of codes? | show 🗑
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| show | A (insurance)
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| show | B ( Patient Condition codes)
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| 32- Conditin code E0 ( Change in Patien Discharge Status) is an example of which group of condition codes | show 🗑
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| show | B ( Patient condition codes)
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| show | B ( Patient condition codes)
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| show | D ( Claim change reason codes)
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| 36- Conditons code 39 (Private Room Medically Necessary) is an example of which group of condition codes | show 🗑
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| show | B ( Patient condition codes)
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| show | B ( ABN) (Advanced beneficiary Notice)
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| show | C ( Occurrence code)
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| 40- On a claim form, the period of skeilled nursing care that occurs druing aninpatient acute hospital stay is reported using | show 🗑
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| show | A ( An accident-related code)
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| show | D ( A service related code)
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| show | D ( A service related code)
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| 44- A payment requested from medicare before a primary payer's payment is received, when medicare is the secondary payer and the provider believes that the primary payer will not pay within 120 days is call a | show 🗑
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| show | C ( Date)
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| show | D ( Date treatment Started for Physical Therapy)
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| show | B ( Value code)
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| 48- Working Aged Beneficiary/Spouse with an EGHP is a description of a | show 🗑
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| 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 🗑
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| show | D ( 47 Any liability insurance)
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| show | A (150)
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| show | C ( The number of PT visits provided from the onset of tx through the billing period)
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| 53- If an accident occurred at 3:45 in the morning, how would this time be entered for value code 45 (Accident hour) | show 🗑
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| show | B ( Occurrence code)
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| show | A (0.00)
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| show | C ( 012X, Room and Board-Semiprivate(two-Beds)
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| show | B ( An Ancillary service code)
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| show | B ( An Ancillary service code)
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| 59- Which of the following subcatergory describtions is not included in revenue code series 063X (Pharmacy - Extension of 025X) | show 🗑
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| 60- Which revenue code range represents accommodation revenue codes | show 🗑
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| show | A ( An accommodation code)
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| 62- Revenue code 0201 (Intensive Care, Surgical) is an example of | show 🗑
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| show | A (General pharmacy charges)
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| show | B ( Ascending numeric order by date of service)
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| 65- Revenue code series 18X (Leave of Absence) is an example of | show 🗑
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| 66- Which of the follwoing is a subcategory description uner revenue code 026X (IV Therapy) | show 🗑
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| 67- Ememergency room charges (045X) can be billed on | show 🗑
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| 68- A revenue code for physical, occupational or speech therapy is also reported with | show 🗑
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| show | D ( Chest X-ray)
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| show | A A HCPCS/CPT code
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| For claims other than medicare, which field contains the covered and noncovered charges for each revenue code? | show 🗑
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| 72- In FL 50 (payer name), which line is used to report the primary payer | show 🗑
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| 73- The code chices to complete FL 52 (release of information certification indicator) are | show 🗑
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| show | B ( W not applicable)
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| show | B ( FL 59 patient relationship to insured)
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| 76- The health insurance claim number is entered in whihc of thes form locators | show 🗑
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| 77- In FL 58, the name Geller-Brown should be entered using the following format | show 🗑
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| 78- WHich of the following types of provider data contained in the NPI database is not considered disclosable under the Freedom of Information Act | show 🗑
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| show | C (19)
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| 80- Which of the following is not an accurate description of a change from the UB-92 to the UB-04 claim form | show 🗑
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| show | C - 4254
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| 82- In which of the following encounters wold it not be appropriate to use a V Code | show 🗑
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| show | b. comorbidities and complications
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| show | c- six
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| 85- Fl 78-79 Other proveders names and identifiers are used to report which of the followin | show 🗑
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| 86- Which of the following is not a qualifier code used in the Code-Code field? | show 🗑
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| 87- In physician billing taxonomy codes are used to indicate | show 🗑
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| 88In hospital billing, taxonomy codes are used to indicate | show 🗑
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| 89- The letter U in UB-04 stands for uniform | show 🗑
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| 90 - The I in the 837I stands for inpatient | show 🗑
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| show | false
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| 92- When a continuing claim is submitted, the provider expects that subsequent bills will be sent | show 🗑
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| 93- A continuing claim is the first in a series of claims to be submitted | show 🗑
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| 94- TOB is the abbreviation for type of bill | show 🗑
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| show | TRUE
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| show | False
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| 97- Only one procedure code can be reported | show 🗑
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| 98- Providers number are assigned by the payer | show 🗑
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| show | False
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| 100 NPI is the abbreviaton for nation provider identifier | show 🗑
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| 1- The NUBC is coordinated through | show 🗑
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