Coding For Physician Services Flashcards
In an ambulatory surgical center, the services reported on the CMS-1500 claim form for which third-party payer?
Medicare
What types of codes are reported for tracking purposes only for outpatient facility coding?
ICD-9-CM Procedure codes
In the outpatient billing process, what is an example of demographic information?
Third-party payer name
What form would the emergency room physician services be billed on?
UB-04
Revenue codes describe the types of services rendered. Who enters the revenue codes on the UB-04 claim form?
Medical biller
What is the last step in the medical billing process?
Patient statement and claim form
In the outpatient billing process the medical coder’s main responsibility is to assign which of the following?
Diagnosis and procedural codes
True or false: outpatient facilities are required to report ICD-9 CM procedural codes to receive reimbursement for the services rendered.
False
True or false: the charge master is a healthcare provider’s comprehensive price list of all supplies, services, and equipment usage fees for patient care.
True
True or false: Encounter forms for outpatient providers usually list the most common diagnoses and procedures
True
Demographic information is used to determine which departments submitted the charges for the services rendered.
False
Outpatient claims list revenue codes, ICD-9-CM codes, CPT codes and procedure descriptions
True
