CPAT Prep Hospital And Clinic Billing Pfs

84 Questions | Total Attempts: 720

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CPAT Quizzes & Trivia

Preparation for Hospital/ Clinic portion of CPAT.


Questions and Answers
  • 1. 
    The uniform billing form is also known as the UB-04.
    • A. 

      True

    • B. 

      False

  • 2. 
    The UB-04 contains how many data elements?
    • A. 

      78

    • B. 

      81

    • C. 

      92

  • 3. 
    Conditons codes are found in which field locators?
    • A. 

      39-41

    • B. 

      66-74

    • C. 

      18-28

    • D. 

      31-34

  • 4. 
    Revenue codes are found in which fields:
    • A. 

      42-49

    • B. 

      31-34

    • C. 

      66-74

    • D. 

      18-28

  • 5. 
    Occurrence codes are found in which fields:
    • A. 

      18-28

    • B. 

      31-34

    • C. 

      39-41

    • D. 

      42-49

  • 6. 
    A UB04 code that identifies a specific accommodation, ancillary service or billing calculation:
    • A. 

      Condition code

    • B. 

      Occurrence code

    • C. 

      Value code

    • D. 

      Revenue code

  • 7. 
    A UB-04 code which identifies the condition(s) relating to the bill that may affect payer processing:
    • A. 

      Condition code

    • B. 

      Occurrence code

    • C. 

      Value code

    • D. 

      Revenue code

  • 8. 
    A UB04 code used to identify values of monetary nature:
    • A. 

      Condition code

    • B. 

      Occurrence code

    • C. 

      Value code

    • D. 

      Revenue code

  • 9. 
    A UB04 code used which identifies the specific date defining a significant event relating to the bill that my affect payment processing:
    • A. 

      Condition code

    • B. 

      Occurrence code

    • C. 

      Value code

  • 10. 
    The type of bill code is how many digits:
    • A. 

      2

    • B. 

      3

    • C. 

      4

    • D. 

      5

  • 11. 
    The type of bill code is found in what form locator:
    • A. 

      5

    • B. 

      6

    • C. 

      2

    • D. 

      4

  • 12. 
    The first digit in the type of bill indicates:
    • A. 

      Frequency

    • B. 

      Type of facility

    • C. 

      Bill classification

    • D. 

      None of the above

  • 13. 
    The third digit in the type of bill indicates:
    • A. 

      Frequency

    • B. 

      Type of facility

    • C. 

      Bill classification

    • D. 

      None of the above

  • 14. 
    Type of bill code 131 indicates:
    • A. 

      Skilled Nursing, Outpatient, Interim –first claim

    • B. 

      Hospital, outpatient, nonpayment zero claims

    • C. 

      Hospital, inpatient, admit through discharge claim

    • D. 

      Hospital, outpatient, admit through discharge claim

  • 15. 
    Type of bill code 227, the third digit 7 indicates:
    • A. 

      Final claim for a home health PPS episode

    • B. 

      Interim-last claim

    • C. 

      Replacement of prior claim

    • D. 

      Late charge only

  • 16. 
    Type of bill code 333, the second digit 3 indicates:
    • A. 

      Outpatient

    • B. 

      Inpatient Part B

    • C. 

      Swing bed

    • D. 

      Inpatient Part A

  • 17. 
    Hospital, Swing bed, Interim-first claim:
    • A. 

      251

    • B. 

      182

    • C. 

      145

    • D. 

      262

  • 18. 
    CWF is the acronym for:
    • A. 

      Common Working Field

    • B. 

      Constant Working File

    • C. 

      Conditional Working File

    • D. 

      Common Working File

  • 19. 
    The CWF contains all of the following except:
    • A. 

      Part A and B deductible information

    • B. 

      Date of birth

    • C. 

      Date of service

    • D. 

      Benefit periods and days remaining in the current benefit period

  • 20. 
    MSP is the acronym for:
    • A. 

      Medicaid secondary payer

    • B. 

      Medicare seasonal payer

    • C. 

      Miscellaneous secondary payer

    • D. 

      Medicare secondary payer

  • 21. 
    A claim that contains complete and necessary information but the information is illogical or incorrect is:
    • A. 

      Clean claim

    • B. 

      Incomplete claim

    • C. 

      Invalid claim

    • D. 

      None of the above

  • 22. 
    A clean claim is one which:
    • A. 

      If investigated does not require contact with the provider

    • B. 

      Will pass all front end edits

    • C. 

      Is processed electronically

    • D. 

      All of the above

  • 23. 
    The Medicare Part A deductible for days 1 through 60 is:
    • A. 

      $1000

    • B. 

      $1132

    • C. 

      $1200

    • D. 

      $1500

  • 24. 
    The Medicare Part A Lifetime Reserve 91 through 150 days:
    • A. 

      $275 per day

    • B. 

      $350 per day

    • C. 

      $550 per day

    • D. 

      $1100 per spell of illness

  • 25. 
    Blood deductible for Medicare Part A and Part B is:
    • A. 

      1 pint per year

    • B. 

      2 pints per year

    • C. 

      3 pints per year

    • D. 

      4 pints per year