Grand Valley State University ( HIM HIM-364 ) Reimbursement and RC Analysis

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1. This information is included on the 837I electronic claim form (or UB-04 printed claim form) to represent the cost center (e.g., lab, radiology, cardiology, respiratory, etc.) for the department in... which the item is provided. It is used for Medicare billing. a. HCPCS code b. Revenue code c. Charge code d. Department number 2. This information is used because it provides a uniform system of identifying procedures, services, or supplies. Multiple columns can be available for various financial classes. a. HCPCS code b. Revenue code c. Department number d. Charge code 3. This information provides a narrative name of the services provided. This information should be presented in a clear and concise manner. a. Department number b. HCPCS code c. Item Description d. Revenue code Use the following case scenario to answer questions 4-8. A patient with Medicare is seen in the physician’s office. The total charge for this office visit is $250.00. The patient has previously paid his deductible under Medicare Part B. The PAR Medicare fee schedule amount for this service is $200.00. The nonPAR Medicare fee schedule amount for this service is $190.00 4. The patient is financially liable for the coinsurance amount, which is a. 80% b. 100% c. 20% d. 15% 5. If this physician is a participating physician who accepts assignment for this claim, the total amount the physician will receive is a. $200.00 b. $250.00 c. $218.50 d. $190.00 [Show More]

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