Ub-04 Basics Assessment

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Ub-04 Basics  Assessment - Quiz

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?

    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.

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  • 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

    Correct Answer
    B. Patient/Provider, Billing, Payer, Diagnostics
    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.

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  • 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: ___________, ___________, ___________

    Correct Answer
    Facility Type, Bill Classification, Frequency
    Facility, Classification, Frequency
    Facility Classification Frequency
    Facility Type Bill Classification Frequency
    Facility Classification and Frequency
    Facility, Classification, and Frequency
    Facility, Classification & Frequency
    Facility Classification and Frequency
    Facility, Classification, and Frequency
    Facility, Classification & Frequency
    Explanation
    Facility Type, Bill Classification, Frequency

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  • 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

    Correct Answer
    B. IP Room Charge
    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.

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  • 5. 

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

    • A.

      24

    • B.

      43

    • C.

      0272

    • D.

      42

    Correct Answer
    D. 42
    Explanation
    Revenue codes are listed in field locator number 42.

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  • 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

    Correct Answer(s)
    B. Significant events affecting claim processing
    E. Incidents or procedures affecting 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.

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  • Current Version
  • Mar 21, 2023
    Quiz Edited by
    ProProfs Editorial Team
  • Jun 17, 2013
    Quiz Created by
    Dignityhealth
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