UB-04
What is another word for UB-04 Claim Form?
Institutional Billing or CMS-1450
What is Scrubbing a Claim?
Finding Errors
What does EHR Stand For?
Electronic Health Record
A code that requires listing the primary reason for the encounter first, followed by secondary conditions
Code First
What is a ERA?
Electronic Remittance Advice (EOB for Providers)
What is a Taxonomy Code?
A unique 10-character alphanumeric identifier that classifies a healthcare provider’s type, classification, and specialization.
What is a Rejected Claim?
An insurance claim returned by a payer
What Does MRN Stand For?
Medical Record Number
Encounter A, D, S stand for...
Initial… Subsequent …. Sequela
What is the Allowed Amoung?
The Contracted Amount Paid
Who is the Payer on a UB-04 Claim?
The Insurance Compnay
An Third Party that receives insurance claims, Scrubs Them, and Processes the Claim is called....
Clearinghouse
What does ICD-10-PCS Stand for?
International Classification of Diseases, 10th Revision, Procedure Coding System. [1]
How Many Chapters in the ICD-10-CM Book?
22
What is a Batch Claim?
More than one claim processed together
How many fields are there in a UB-04?
83
Insurance claims transmitted electronically are usually paid within what time frame?
Two-Weeks
What does HIPAA Stand For?
Insurance claims transmitted electronically are usually paid in
How many alphanumeric characters does each ICD-10-PCS code have?
Seven
What Does EOB Stand For?
Explanation of Benefits
What is a Revenue Code?
A four-digit numeric code maintained by the National Uniform Billing Committee that identifies the specific department, accommodation, or service area where a patient received care
Electronic claims are submitted by means of?
Electronic Data Interchange (EDI)
What Does CMS Stand for?
Center of Medicare and Medicaid Services
What Codes identify the main condition treated during an encounter? What Made the Patient Come in?
Chief Complaint (CC)
What Do You Called the Billed Amount Subtracted the Contracted Amount?
The Adjusted Amount