WorksheetsHospital Billing PP 1 and 2
Total questions: 15
Worksheet time: 8mins
Can a claim denial be corrected and resubmitted?
Yes, with documentation
No, only appealed
Yes, only if it is submitted online
No, unless approved by the doctor
What is the difference between a claim denial and a claim rejection?
A claim denial must be appealed while a claim rejection has to be corrected and resubmitted due to an error
A claim rejection must be appealed while a claim denial has to be corrected and resubmitted due to an error
A claim rejection is not approved by the doctor while a claim denial is not approved by the hospital
A claim rejection is not approved by the hospital while a claim denial is not approved by the doctor
UB-04 was developed by a committee, what was its name?
National Uniform Billing Committee
National United Billing and Coding
National Untitled Bilingual Committee
National Uniform Committee
UB is an abbreviation for which one of the following?
Universal Billing
Uniform Bill
Universal Benefits
Uniform Bill
POA stands for?
Present on Admission
Patient on Adcare
Present open Address
Patient open Admin
A patient's date of birth is entered on FL 10 in what format?
mmddyear
mm.dd.year
mm/dd/year
mm/dd/yr
The date a patient is released from the hospital or SNF is called the
date of admission
discharge date
staying night field
sudden number field
All value codes must end with what two characters
zeros
capital letters
xx
symbols
In what order should revenue codes be listed?
ascending, in numerical order by date
descending, in numerical order by date
descending, in numerical order by complexity
ascending, in numerical order by importance
What is a number that is assigned to an individual or organizational provider for use with all payers for a lifetime?
National Provider Identifier
Tax Identification Number
UPIN
Social Security Number
What is the number assigned by a specific payer to a provider of health care services?
Provider Number
TIN
NPI Number
UPIN
What is the purpose of an unlabeled form locator?
Reserve for future use
overflow box
office use only
patient information
What does NPI stand for?
National Provider Identifier
New Patient Information
National Patient Information
New Provider Information
What are the 5 codes you can use for POA?
Y,N,U,W,1
Y,N,E,V,0
Y,N,U,V,1
Y,N,E,W,0
What do the 5 codes for POA stand for?
Y - Yes , N – No , U - Unknown, W – Clinically undetermined ,1 -- Unreported/Not used
Y - Yes , N – No , U - Undiagnosed, W – Working Injury ,1 -- 1st time in hospital
Y - Yes , N – Not clear , U - Unfiled, W – Weak ,1 -- no information
Y - Yes , N – No , U - Uniform, W – Walk-In, 1 -- 1st entry
