Physician offices should audit their medical records to:
ensure compliance with HIPAA regulations.
determine the accuracy of the physician's documentation.
assess the completeness of the medical record.
all of the above.
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Q. 2) What is meant by inpatient care?
What will be an ideal response?
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Q. 3) Revenue codes on the UB-04 claim form identify services and benefit days for Medicare patients.
Indicate whether this statement is true or false.
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Q. 4) A company that provides data processing and claims processing services to medical practices is a(n):
billing service.
independent auditing firm.
clearinghouse.
third-party administrator.
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Q. 5) Most physicians bill insurance carriers by completing paper or electronic versions of which form?
Verification of benefits form
CMS-1500 claim form
UB-04 claim form
Superbill
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Q. 6) What are the elements considered in medical decision making?
What will be an ideal response?
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Q. 7) On the UB-04, codes that identify the department that supplied the services are the:
CPT codes.
ICD-9-CM codes.
revenue codes.
value codes.
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Q. 8) To signify that a patient was discharged from the hospital at midnight, which code would be entered in form locator 16 on the UB-04?
00
12
24
99
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Q. 9) The Ambulatory Payment Classification (APC) system bases payments on:
usual fees.
procedures.
diagnoses.
number of days.
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Q. 10) Most providers submit healthcare claims electronically.
Indicate whether this statement is true or false.
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