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| 1 | A medical emergency is a situation in which delaying treatment of the patient would lead to a significant increase in the threat to life or body part. |
 | A) | True |
| B) | False |
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| 2 | The patient's name on a claim form must be exactly the same as the name on the Medicare card. |
| A) | True |
| B) | False |
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| 3 | Self-referral describes a patient who asks for outpatient services without a physician's order. |
| A) | True |
| B) | False |
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| 4 | Titles, such as Mr. or Dr., are part of the patient's name to be entered in FL 8 of the UB-04. |
| A) | True |
| B) | False |
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| 5 | Payers accept claim forms without a patient's full address including zip code as long as they have the patient’s name. |
| A) | True |
| B) | False |
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| 6 | The admission date is entered in FL 12 in MMDDYY format. |
| A) | True |
| B) | False |
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| 7 | In FL 8, which is the correct format for entering a patient's name that is hyphenated, such as Sanchez-Jones? |
| A) | SanchezJones |
| B) | Sanchez-jones |
| C) | Sanchez-Jones |
| D) | Sanchez |
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| 8 | In FL 8, which is the correct format for entering a patient's name that has an apostrophe, such as O'Connor? |
| A) | O'Connor |
| B) | OConnor |
| C) | Oconnor |
| D) | oconnor |
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| 9 | In FL 8, which is the correct format for entering a patient's name that has a prefix, such as Van Buren? |
| A) | VanBuren |
| B) | Vanburen |
| C) | Van Buren |
| D) | vanburen |
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| 10 | If the code in FL 14 (Type of Admission or Visit) is 4 (newborn), what Point of Origin for Admission or Visit code would be entered if the newborn was born outside of the hospital submitting the claim? |
| A) | 4 |
| B) | 5 |
| C) | 6 |
| D) | 7 |
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| 11 | FL 15 (Point of Origin for Admission or Visit) has two coding structures, each with it own set of codes. What type of admission has its own set of codes? |
| A) | transfer |
| B) | elective |
| C) | trauma center |
| D) | newborn |