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Hospital Billing/ UB-04 (Week 5)
Terms in this set (20)
How many diagnosis can be listed on the UB-04 claim form?
What is listed on a Charge Description Master?
Procedure code, Procedure of Services description, charge
What are revenue codes?
Codes that identify the hospital performs outpatient services
Define Cost Outlier
Case that cannot be assigned an appropriate DRG
What is the software program that allows a facility to calculate its Diagnosis Related Group payment group?
Who maintains the Ambulatory Payment Classification list?
[CMS] Centers for Medicare and Medicaid services
Ambulatory Payment Classification system bases payment on.....
What is Prospective Payment System?
The method of reimbursement that establishes the rat of payment to a hospital before service are rendered
How often is a patent control number assigned to a patent in the hospital?
At each admission
Preexisting condition that will require intensive therapy
What are the types of facilities that would use UB-04 claim form?
Hospitals, Rehabilitation centers, outpatients surgical centers
Majority of hospital reimbursement comes from?
What is an Ambulatory surgical Unit
A department within the hospital performs outpatient service
When will a hospital bill for patient services?
After the discharge paperwork is completed and signed by the physician
What is the method of reimbursement that pays hospitals a fixed rate day for all services?
What does OPPS stand for?
Outpatients prospective payment system
Diagnosis Related Group system is a type of?
Prospective payment system
What physician primarily responsible for patients care while int he hospital?
Referring to Diagnosis Related Group, what does CC used to indicate?
Complications and commodities
IF the time that the patient was admitted tot he hospital is unknown, which code would be used.
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