NURSING > QUESTIONS & ANSWERS > CPB - CHAPTER 8, Questions and answers, 100% Accurate, rated A+ (All)

CPB - CHAPTER 8, Questions and answers, 100% Accurate, rated A+

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CPB - CHAPTER 8, Questions and answers, 100% Accurate, rated A+ What does the acronym NUCC stand for? a National Unified Claims Committee b National Uniform Criteria Committee c National Unified Claims Coordinators d National Uniform Claims Committee - ✔✔-d National Uniform Claims Committee When a provider "accepts assignment" the difference between the charged amount and the allowed amount: a is billed to the patient. b can be submitted again for reconsideration. c is written off as patient hardship. d is considered a contractual write off. - ✔✔-is considered a contractual write off What is the type of bill code that is reported for a free standing clinic? a 073X b 074X c 085X d 075X - ✔✔-a 073X Guidelines for proper completion of claim forms can be found by referencing: a The back of the paper claim form b Private payer website and policy manual c Medicare Claims Processing Manual d Both b and c - ✔✔-d Both b and c Item 14 Qualifier is used to indicate what information? a Onset of Current Symptoms or Illness b Location of injury c LMP d both a and c - ✔✔-d both a and c A patient is admitted to the hospital with pneumonia. Which FL would be used to report the patient's admitting diagnosis? a FL 68 b FL 70 c FL 65 d FL 69 - ✔✔-d FL 69 Facility charges are reported on which claim form? a UB-05 claim form b CMS-1500 claim form c UB-04 claim form d Either CMS-1500 or UB-04 claim form - ✔✔-c UB-04 claim form The abbreviation FL refers to: a Fill line b Form line c Form locator d Fill locator - ✔✔-c Form locator CMS-1500 claim form revisions undergo: a one NUCC review prior to approval. b one CMS review prior to approval. c one HHS and one CMS review and approval. d multiple reviews prior to approval and implementation - ✔✔-d multiple reviews prior to approval and implementation Which statement is TRUE regarding Item 7 on the CMS-1500 claim form? a This Item is left blank when the patient has a secondary insurance. b This Item is only completed when Item 4 is completed. c This Item is always completed with the patient's information. d This Item is always completed with the patient's spouse's information. - ✔✔-b This Item is only completed when Item 4 is completed. Which statement is TRUE regarding diagnosis codes on the UB-04 claim form? a The UB-04 claim form is only submitted for inpatient hospitals. b Medicare requires the use of ICD-10-CM codes only on the UB-04 claim form and not the CMS-1500 claim form. c Report as many necessary diagnosis codes for the patient during the hospital encounter/stay. d Only one ICD-10-CM code can be reported on the UB-04 claim form. - ✔✔-d Only one ICD-10-CM code can be reported on the UB-04 claim form. On the UB-04 claim form, what is entered in FL 50A when Medicare is determined to be the primary payer? a None b SAME c Medicare d Other - ✔✔-c Medicar

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