Question 1

All of the following are considered computer security safeguards EXCEPT:

Accepted Answer

Downloading of unauthorized data from a website is not a computer security safeguard. Safeguards typically involve measures to protect against unauthorized access or damage to computer systems and data, whereas downloading unauthorized data would be a violation of security policies and could create security risks. The other options listed are all examples of computer security safeguards, including the use of passwords and encryption, logging off workstations, and policies for controlling access to fax machines.

Question 2

A four-digit code corresponding to each narrative description or standard abbreviation that identifies a specific accommodation, ancillary service, or billing calculation related to services billed is called a/an _____________________ code.

Accepted Answer

The answer of A four-digit code corresponding to each narrative...

Question 3

The Administrative Simplification provisions of the Health Information Portability and Accountability Act of 1996 prohibit the submission of most _____________________.

Accepted Answer

The answer of The Administrative Simplification provisions of the Health...

Question 4

The hospital department that conducts an admission and concurrent review on all cases and prepares a discharge plan to determine whether admissions are justified is called the ____________________ department.

Accepted Answer

The answer of The hospital department that conducts an admission...

Question 5

______________________ is a preexisting condition that will, because of its effect on the specific principal diagnosis, require more intensive therapy or cause an increase in length of stay by at least 1 day in approximately 75% of cases.

Accepted Answer

The answer of ______________________ is a preexisting condition that will,...

Question 6

The MS-DRG-based system is a complex _________________-tiered system.

Accepted Answer

The answer of The MS-DRG-based system is a complex _________________-tiered...

Question 7

An unethical practice of upcoding a patient's DRG category for a more severe diagnosis to increase reimbursement is called _____________________.

Accepted Answer

The answer of An unethical practice of upcoding a patient's...

Question 8

______________________ are DRG cases that cannot be assigned properly because of an atypical situation.

Accepted Answer

The answer of ______________________ are DRG cases that cannot be...

Question 9

The Uniform Bill claim form is considered a ____________________ statement.

Accepted Answer

The answer of The Uniform Bill claim form is considered...

Question 10

On the CMS 1450 (UB-04) claim form, the second digit of the four-digit bill code in Field 4 indicates the type of ____________________.

Accepted Answer

The answer of On the CMS 1450 (UB-04) claim form,...

Question 11

The __________________________________________________ is used to list procedural codes for Medicare patients on hospital insurance claims that are not in the CPT book.

Accepted Answer

The answer of The __________________________________________________ is used to list procedural...

Question 12

Preauthorization is needed for patients who are

Accepted Answer

The answer of Preauthorization is needed for patients who are
...

Question 13

What is QIO an abbreviation for?

Accepted Answer

The answer of What is QIO an abbreviation for?...

Question 14

PAT is an abbreviation for ____________________.

Accepted Answer

The answer of PAT is an abbreviation for ____________________....

Question 15

In an effort to reduce the processing time for each health insurance claim submitted and to reduce costs related to health care delivery, Medicare uses a ______________ prospective payment system on which hospital fee reimbursements are based.

Accepted Answer

The answer of In an effort to reduce the processing...

Question 16

____________________ are used for CPT and HCPCS codes to modify or provide more detailed information on the procedure and/or medical supply.

Accepted Answer

The answer of ____________________ are used for CPT and HCPCS...

Question 17

Medicare provides stop-loss called _____________________ in its regulations.

Accepted Answer

The answer of Medicare provides stop-loss called _____________________ in its...

Question 18

On the CMS 1450 (UB-04) claim form, 1553 listed as the hour of admission indicates that the patient was admitted at ____________________.

Accepted Answer