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STORE MANUAL PRIMARY PAYOR
Author :
Danyale Puckett
1.
WHAT IS THE DEFINITION OF CODE 01 IN THE STORE MANUAL
A
Patient has no insurance and is declared a charity write-of
B
Patient has no insurance and is declared responsible for charges.
C
Type of insurance unknown or other than the types listed in codes 20, 21, 31, 35, 60–68.
2.
WHAT IS THE DEFINTION ON CODE 02 IN THE STORE MANUAL?
A
An insurance plan that does not have a negotiated fee structure with the participating hospital.
B
Patient has no insurance and is declared responsible for charges
C
NONE OF THE ABOVE
3.
WHICH IS AN EXAMPLE OF CODE 01 IN THE STORE MANUAL.
A
An admitted patient with admission page that states the primary insurance carrier is an HMO
B
An indigent patient with insurance
C
An indigent patient is admitted with no insurance coverage
4.
What is the code for Military personnel or their dependents who are treated at a military facility.
A
9
B
66
C
30
5.
What is the label for code 20 in the STORE MANUAL
A
Insurance, NOS
B
VETERAN
C
MEDICAID
6.
When are Codes 21 and 65–68 used for patients diagnosed
A
on or after January 1, 2001
B
after January 31, 2000
C
on or after January 1, 2006
7.
WHAT IS THE DEFINTION FOR CODE 99 IN THE STORE MANUAL?
A
unknown from the patient’s medical record whether or not the patient is insured.
B
Federal government Medicare insurance with State Medicaid administered supplement.
C
Patient has Medicare and private insurance to pay costs not covered by Medicare
8.
WHAT IS THE DEFINTION OF THE PRIMARY PAYER AT DIAGNOSIS IN THE STORE MANUAL?
A
Identifies the patient’s primary payer insurance at the time of initial diagnosis or treatment.
B
Helps a patient pay for service
C
None of the Above