Ub-04 Basics Assessment
10 Questions
| Attempts: 519
This quiz is a short clarity check on the content learned in the UB-04 Basics Training course for both new hires and those who participate in a refresher.
Questions and Answers
- 1.What does the "B" in UB-04 stand for?
- 2.What order are the sections of a UB-04 displayed?
- A.
Payer/Provider, Billing, Patient, Diagnostics
- B.
Patient/Provider, Billing, Payer, Diagnostics
- C.
Patient/Payer, Billing, Provider, Diagnostics
- D.
Patient/Provider. Billing, Diagnostics, Payer
- 3.The "Type of Bill" or Bill Type is found in field locator 4. Not including the leading zeros, what do the three digits represent? Structure your answer like this: ___________, ___________, ___________
- 4.What charge is required on an IP claim?
- A.
Treatment Room Charge
- B.
IP Room Charge
- C.
Admit Room Charge
- D.
Any Room Charge
- 5.
What is the number of the field locator where revenue codes are listed?- A.
24
- B.
43
- C.
0272
- D.
42
- 6.What is the purpose of the occurrence codes? (Select all that apply)
- A.
Patient co-pay
- B.
Significant events affecting claim processing
- C.
Identify conditions
- D.
Medicare as secondary
- E.
Incidents or procedures affecting claim processing
- F.
Date therapy started
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