Per diem is a type of reimbursement that pays a fixed rate per day for all services provided by a hospital.
Indicate whether this statement is true or false.
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Q. 2) An examination that documents a limited examination of the affected body area or organ system and any other symptomatic or related body areas would be considered a(n):
problem-focused exam.
expanded problem-focused exam.
detailed exam.
comprehensive exam.
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Q. 3) Clearinghouses charge providers based on which type of payment system?
A percentage of each claim's dollar value
A flat fee per claim
Per diem
Per membership per month
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Q. 4) An internal audit will NOT be able to help a practice discover lost revenue.
Indicate whether this statement is true or false.
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Q. 5) If a patient complains of an aching pain in the chest, the complaint would be considered part of the past, family, and social history (PFSH).
Indicate whether this statement is true or false.
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Q. 6) The diagnosis code required in form locator 24E is the:
ICD-9-CM code describing the patient condition.
number of the diagnosis code listed in form locator 21 that points to the related service.
number of diagnostic tests performed to justify the physician's diagnosis.
diagnostic modifier, if applicable.
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Q. 7) On the CMS-1500 claim form, the abbreviation NPI indicates that:
a condition was Not Present or Indicated upon examination.
the National Health Plan Identifier must be entered.
the National Provider Identifier must be entered.
the National Preferred Identifier for clearinghouses must be entered.
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Q. 8) A case that cannot be assigned an appropriate Diagnosis Related Group (DRG) because of an atypical situation is referred to as a(n)__________ .
Fill in the blank with correct word.
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Q. 9) The hospital database that contains information on all admitted patients is the __________ index.
Fill in the blank with correct word.
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Q. 10) The form used by the provider to document ICD-9-CM and CPT codes for routine services is referred to as a(n):
encounter form.
charge slip.
superbill.
all of the above.
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