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How are provider services for inpatient care billed? Where are hospital inpatient charges reported? How are observational services reported? Describe the global fee. What does

  1. How are provider services for inpatient care billed? Where are hospital inpatient charges reported?
  2. How are observational services reported?
  3. Describe the global fee. What does the global fee include?
  4. What are the general bulling guidelines for combined medical/surgical cases?
  5. How many diagnoses can be reported on a CMS-1500 claim form?
  6. How many CPT codes are reportable on a CMS 1500 claim form?
  7. Where does the payer's full address belong on a claim?
  8. Please indicate the section/box where the policyholder's information belongs.
  9. What does the acronym OCR represent? What is the purpose of the OCR?
  10. Why do written claims take longer to process?
  11. How must all names be written in the CMS-1500 claim form?
  12. What information belongs in block 31? Describe the acceptable ways this information can be submitted.
  13. What is an NPI? Why is it important? How do providers apply for an NPI?
  14. What are the stipulations under the Federal Privacy Act?
  15. How many modifiers can be placed on each service line?
  16. What is the difference between accept assignment and assignment of benefits?
  17. What standards must a supervising physician meet? Who do they supervise?

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