CHAPTER 17 - HOSPITAL BILLING

Front

A Patient Service Representative's primary job function is......

Back

to promptly file inpatient and outpatient claims to third-party payers

Front

Under HIPAA, what must be kept confidential? Options: The patients' financial records, The patients' medical records, Verbal communication and hospital computer security, All of the above

Back

All of the above

Front

PAT stands for

Back

Preadmission testing

Front

LOS stands for

Back

Length of stay

Front

Patients who receive outpatient services within 72 hours of being admitted will have those services "bundled" into their inpatient hospital stay.

Back

True

Front

Coding and billing for inpatient charges use only which code books? Options: CPT, ICD10CM, ICD10PCS & HCPCS, CPT & ICD10CM, ICD10CM & ICD10PCS, None of the above

Back

ICD10CM & ICD10PCS

Front

For inpatient coding, the first diagnosis (the reason the patient is seeking care) is called the ....

Back

Principal Diagnosis

Front

For outpatient coding, the first diagnosis (the reason the patient is seeking care) is called the ....

Back

Primary Diagnosis

Front

Diagnosis code sequence is important in billing inpatient hospital cases because maximum payment is based on the DRG system.

Back

True

Front

When an individual receives medical services in a section or department of a hospital and goes home the same day, he or she is classified as outpatient.

Back

True