The Category Commercial Payers Includes Private Health Insurance Companies And

Question: A four-digit code that describes a classification of a product or service provided to a patient is a

Answer: revenue code.

Question: State Medicaid programs are required to offer medical assistance for

Answer: individuals with qualified financial need.

Question: 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

Question: Based on CMS’s DRG system, other systems have been developed for payment purposes. The one that classifies the non-Medicare population, such as HIV patients, neonates, and pediatric patients, is known as

Answer: APR-DRGs.

Question: Which of the following best describes the situation of a provider who agrees to accept assignment for Medicare Part B services?

Answer: The provider cannot bill the patients for the balance between the MPFS amount and the total charges.

Question: Terminally ill patients with life expectancies of ______ may opt to receive hospice services.

Answer: 6 months or less

Question: ICD-10-PCS procedure codes are used on which of the following forms to report services provided to a patient?

Answer: UB-04

Question:

Answer: $40.00.

Question: This is the amount collected by the facility for the services it bills.

Answer: reimbursement

Question:

Answer: present on admission.