UB-04 Basics Assessment

1. What is the number of the field locator where revenue codes are listed?

24

43

0272

42

Revenue codes are listed in field locator number 42.

Explanation

Revenue codes are listed in field locator number 42.

2. What does the "B" in UB-04 stand for?

The "B" in UB-04 stands for billing. The UB-04 is a standard claim form used by institutional healthcare providers to bill for services rendered to patients. It provides detailed information about the services provided, including the dates of service, the procedures performed, and the costs associated with each service. The form is used by hospitals, nursing homes, and other institutional providers to submit claims to insurance companies for reimbursement.

Explanation

The "B" in UB-04 stands for billing. The UB-04 is a standard claim form used by institutional healthcare providers to bill for services rendered to patients. It provides detailed information about the services provided, including the dates of service, the procedures performed, and the costs associated with each service. The form is used by hospitals, nursing homes, and other institutional providers to submit claims to insurance companies for reimbursement.

Submit

3. What charge is required on an IP claim?

Treatment Room Charge

IP Room Charge

Admit Room Charge

Any Room Charge

The correct answer is IP Room Charge. This is because IP stands for Inpatient, which refers to a patient who is admitted to a hospital for treatment and requires a room. Therefore, an IP Room Charge is required for the accommodation and facilities provided to the inpatient during their stay at the hospital.

Explanation

The correct answer is IP Room Charge. This is because IP stands for Inpatient, which refers to a patient who is admitted to a hospital for treatment and requires a room. Therefore, an IP Room Charge is required for the accommodation and facilities provided to the inpatient during their stay at the hospital.

4. What are the three steps to troubleshoot a claim?

Identify

Review

Relate

Submit

5. What order are the sections of a UB-04 displayed?

Payer/Provider, Billing, Patient, Diagnostics

Patient/Provider, Billing, Payer, Diagnostics

Patient/Payer, Billing, Provider, Diagnostics

Patient/Provider. Billing, Diagnostics, Payer

The sections of a UB-04 are displayed in the order of Patient/Provider, Billing, Payer, Diagnostics. This means that the patient and provider information is displayed first, followed by the billing information, then the payer information, and finally the diagnostic information. This order allows for a logical flow of information and ensures that all necessary details are included in the correct sections of the form.

Explanation

The sections of a UB-04 are displayed in the order of Patient/Provider, Billing, Payer, Diagnostics. This means that the patient and provider information is displayed first, followed by the billing information, then the payer information, and finally the diagnostic information. This order allows for a logical flow of information and ensures that all necessary details are included in the correct sections of the form.

6. Match the Bill Classification with the appropriate meaning.

1

2

3

Submit

7. Match the Frequency with the appropriate meaning.

1

2

3

4

5

7

Submit

8. Match the Facility Type with the appropriate meaning.

1

2

3

7

Submit

9. What is the purpose of the occurrence codes? (Select all that apply)

Patient co-pay

Significant events affecting claim processing

Identify conditions

Medicare as secondary

Incidents or procedures affecting claim processing

Date therapy started

Occurrence codes are used to indicate significant events or incidents that affect the processing of a claim. These codes provide additional information about specific occurrences or procedures that may impact the reimbursement or processing of a claim. By including occurrence codes, healthcare providers can ensure that the claim is processed accurately and that any relevant information is taken into account. Therefore, the purpose of occurrence codes is to identify significant events and incidents that affect claim processing.

Explanation

Occurrence codes are used to indicate significant events or incidents that affect the processing of a claim. These codes provide additional information about specific occurrences or procedures that may impact the reimbursement or processing of a claim. By including occurrence codes, healthcare providers can ensure that the claim is processed accurately and that any relevant information is taken into account. Therefore, the purpose of occurrence codes is to identify significant events and incidents that affect claim processing.

Submit

10. 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: ___________, ___________, ___________

Facility Type, Bill Classification, Frequency

Explanation

Facility Type, Bill Classification, Frequency

Submit

Ub-04 Basics Assessment