On the ub 04 claim - Study guides, Class notes & Summaries

Which of the following must a patient sign prior to an insurance claim being processed? a. the HIPAA waiver form b. a referral form c. an Authorization to Release Information d. the actual insurance claim form (Ans- c. an Authorization to Release Information Which of the following patient information is needed to determine a Medicaid sliding fee scale. Select the three (3) correct answers. a. amount of the bill b. occupation c. number of dependents d. poverty level e. salary (Ans...

HFMA: Healthcare Financial Management Association Exam (2024 / 2025) Questions and Verified Answers 1. Which of the following options is an alternative to valid long-term payment plans? ~ Answer: Bank loans 2. What type of plan restricts benefits for nonemergency care to approved providers only? ~ Answer: A PPO (preferred provider organization) plan 3. What does scheduling allow provider staff to do? ~ Answer: Review the appropriateness of the service requested 4. When an adult patient is covere...

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...

NHA,CBCS (2024/ 2025) Exam | Questions and Verified Answers| 100% Correct| Grade A Q: Which of the following actions by a billing and coding specialist would be considered fraud? Answer: Billing for services not provided Q: The >< symbol is used to indicate a new and revised test other than which of the following? Answer: Procedure descriptors Q: On the CMS-1500 claim form, blocks 14 through 33 contain information about which of the following? Answer: The...

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...

AAPC CPB - Chapter 8 ReviewWhich statement is TRUE regarding condition codes for the UB-04 claim form? Selected Answer: d. a. A condition code identified the department for the revenue of the procedure. b. Condition codes are listed in the order of occurrence instead of numerical order. c. Condition codes are reported only on the CMS-1500 claim form. d. A condition code is used to indicate an inpatient service is reported on an outpatient claim. - correct answer d. A condition code is us...

Joe and Mary are a married couple and both carry insurance from their employers. Joe was born on February 23, 1977 and Mary was born on April 4, 1974. Using the birthday rule, who carries the primary insurance for their children for billing? A. Joe, because he is the male head of the household. B. Mary, because her date of birth is the 4th and Joe's date of birth is the 23rd. C. Mary, because her birth year is before Joe's birth year. D. Joe, because his birth month and day are before Mary...

AAPC CPB - Chapter 8 ExamWhich statement is TRUE regarding condition codes for the UB-04 claim form? Selected Answer: d. a. A condition code identified the department for the revenue of the procedure. b. Condition codes are listed in the order of occurrence instead of numerical order. c. Condition codes are reported only on the CMS-1500 claim form. d. A condition code is used to indicate an inpatient service is reported on an outpatient claim. - correct answer d. A condition code is used ...

NHA Medical Coding and Billing Exam Questions with Verified Solutions Billing and coding specialists should first divide the E & M Code by Place of Service Compliant with HIPPA the following position should be assigned in each office Privacy Officer Coding on the UB-04 Form, must sequence the diagnosis code. Which is the first listed diagnosis? Principal Diagnosis Obstruction of the urethra is Urethratresia Ambulatory surgery centers, home health center, and hospice use what fo...

Medicare payment for inPt eligible new tech is based on the cost to the hospital for the new tech. Medicare pays: 50% for the costs of the new tech in excess of the full MS-DRG payment Medicare reimbursable drugs are found in this code book. HCPCS Level II Rationale: Medicare reimbursable drugs are found in the HCPCS Level II code book. Medicare reimbursable drugs must be billed in the appropriate dosage amount defined by the long descriptor of their respective HCPCS Level II codes and ...