RHIT 9 Exam Questions with Correct Answers
The type of hospital that is considered excluded when it applied for and receives a waiver from CMS. This means that the hospital does not participate in the IPPS. - Answer-cancer hospital
These are financial protections to ensure that certain types ...
The type of hospital that is considered excluded when it applied for and receives a
waiver from CMS. This means that the hospital does not participate in the IPPS. -
Answer-cancer hospital
These are financial protections to ensure that certain types of facilities recoup all of their
losses due to the differences in the APC payments and the pre-APC payments. -
Answer-hold harmless
This information is printed on the UB-04 claim form to represent the cost center for the
department in which the item is provided. It is used for Medicare billing. - Answer-
revenue code
This information is used because it provides a uniform system of identifying procedures,
services, or supplies. Multiple columns can be available for various financial classes. -
Answer-HCPCS code
This information provides a narrative name of the services provided. This information
should be presented in a clear and concise manner. When possible, the narratives from
the HCPCS/CPT book should be utilized - Answer-item or service description
This information is the numerical identification of the service or supply. Each item has a
unique number with a prefix that indicates the department number and an item number
for a specific procedures or service represented on the chargemaster. - Answer-charge
or service code
the number assigned to a specific ancillary department - Answer-department number
the number assigned by the accounting department or the business office - Answer-item
number
This information is used to assign each item to a particular section of the general ledger
in a particular facility's accounting section. Reports can be generated from this
information to include statistics related to volume in terms of numbers, dollars, and
payer types. - Answer-general ledger key
This information indicates the most recent activity of an item - Answer-activity date
, A company that contracts with the CMS to pay Medicaid claims is called a ___ ___. -
Answer-fiscal agent
The DNFB report includes all patients who have been discharged from the facility but for
whom, for one reason or another, the billing process is not complete. - Answer-
discharged not final billed
The limiting charge is a percentage limit on feeds specified by legislation that the
nonparticipating physician may bill Medicare beneficiaries above the nonPAR fee
schedule amount. The limiting charge is ___ percent. - Answer-15
There are times when documentation is incomplete or insufficient to support the
diagnoses found in the chart. The most common way of communicating with the
physician for answers is by using ____ _____ ____. - Answer-physician query forms
Under APCs, payme status indicator "x" means ____ ____. - Answer-ancillary services
Under APCs, payment status "V" means ___ or ___ ___ visit - Answer-clinic,
emergency department
Under APCs, payment status indicator "S" means .. - Answer-significant procedure,
multiple procedure reduction does not apply
Under APCs, payment status indicator "T" means ... - Answer-significant procedure,
multiple procedure reduction applies
Under APCs, payment status indicator "C" means.. - Answer-inpatient procedures or
services
A discharge in which the patient was discharged from the inpatient rehabilitation facility
and returned within three calendar days (prior to midnight on the third day) is called a(n)
____ ___. - Answer-interrupted stay
The PPS replaced the Medicare Physician payment system of "customary, prevailing,
and reasonable (CPR)" charges whereby physicians were reimbursed according to their
historical record of the charge for the provision of each service - Answer-MPFS
A service provided by a physician whose opinion or advice regarding evaluation and/or
management of a specific problem is requested by another physician is referred to as
a(n)... - Answer-consultation
A patient with leukemia is admitted for chemotherapy 5 weeks after experiencing an
acute MI. How will the MI be coded? - Answer-acute MI with subsequent episode of
care
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