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.