Inpatient
Coding
Final Exam
Study
Guide
100
Form Locator
What is the meaning of the abbreviation FL.
100
Clean
What is type of claim passes all internal billing and payer edits and is paid without being investigated by the third party-payer.
100
Claim Denial
What the payer action that can be appealed.
100
Diagnostic, Therapeutic, Palliative and Preventive services.
What is the four basic types of services that hospitals provide.
100
Observation
What is it when a physician is monitoring the severity of a patient's illness to determine if the patient should be admitted or discharged.
200
Deductible
What is the amount of money that a patient must pay each year before health insurance benefits begin, as defined by the patient's medical health plan.
200
Centers for Medicare and Medicaid Services
What is the meaning of the abbreviation CMS.
200
Encounter Form
What is a multipurpose billing form used to record procedures and diagnoses and to develop charges from a patient's visit.
200
PPS
What is a method of reimbursement for services provided to Medicare patients.
200
Advance Beneficiary Notice
What is the abbreviation ABN.
300
Diagnosis Related Group
What is DRG?
300
Radiology
What branch of medicine is used to radiant energy to diagnose and treat patients.
300
Date
What must be reported also, when an occurrence code is reported on a claim.
300
MS-DRG
What is determined based on the principal and secondary diagnosis that is used to describe the patient's condition, complications and "comorbidities".
300
Medical Record
What is a collection of the demographic, insurance, financial, and medical information about the patient that is stored as a chart or folder.
400
To show how much of something is in the body
What is why quantitative tests are done.
400
Inpatient
What is it when a patient requires on-going care for more than 24 hours and is admitted into the hospital.
400
ICD-10-PCS
What is the coding system used for hospital inpatient procedures?
400
Pathology
What is the study of diseases, used to determine their cause, origin, and nature?
400
Price Schedule
What is Medicare's list of prices for services/procedures called.
500
Numeric
What is the type of format of the data element 2100.00 on the UB-04.
500
Operating Room
What is a room/suite in which a patient is placed prior to surgery and in which the actual surgery is performed.
500
Chiropractic
What is not part of the ICD-10-PCS section in the Ancillary Sections for radiology procedures.
500
National Uniform Billing Committee
Who maintains the UB-04 claim form?
500
The Joint Commission
What is a nonprofit organization responsible for accrediting 21,000 health care organizations and programs in the United States.
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