Billing and Coding Pretest 2022
COMPLETE SOLUTION
107. Which of the following styles should a billing and coding specialist use to format a patient's date of
birth on a CMS-1500 claim form? - ✔✔O MMDDYYYY
106. A Medi
...
Billing and Coding Pretest 2022
COMPLETE SOLUTION
107. Which of the following styles should a billing and coding specialist use to format a patient's date of
birth on a CMS-1500 claim form? - ✔✔O MMDDYYYY
106. A Medicare provider submits a CMS-1500 claim form that is rejected for payment. Which of the
following should be a reason for the form's rejection? - ✔✔O Medical coverage was cancelled
In which of the following locations should a billing and coding specialist find the contract information to
appeal a claim? - ✔✔O Insurance company file
A patient takes his medication as prescribed and experiences swollen lips. The billing and coding
specialist should refer to which of the following sections of ICD-10-CM to identify the appropriate code?
- ✔✔O Adverse effect
A billing and coding specialist is reviewing a signed release of information form that does not have a
date. Which of the following is correct regarding this release? - ✔✔O This release is not valid
A patient's progress notes indicate that she is primigravida. Which of the following describes the
patient's condition? - ✔✔O Pregnant for the first time
A remittance advice states a denial of payment due to lack of preauthorization. Which of the following
of actions should the billing and coding specialist take if the appendectomy was an emergency
procedure? - ✔✔File an Appeal
A clearinghouse rejects a claim that is missing the patient's date of birth. Which of the following actions
should the billing and coding specialist take next? - ✔✔O Add the missing information and resubmit
74. Under the Health Insurance Portability and Accountability Act (HIPAA), which of the following
scenarios requires patients authorization for the release of health information? - ✔✔O Using patient
information for marketing
An omission clean claim from which of the following submission to a third party payer? blocks on the
CMS-1500 claim form can prevent - ✔✔Diagnosis
Which of the following procedures is an example of a code for removing cancer? - ✔✔O Excision of a
fibrosarcoma O Aspiration of a breast cyst O Debridement of a pressure ulcer O Destruction of a benign
lesion
Which of the following medical terms is a procedure that is found on the fee schedule? - ✔✔Carpal
tunnel syndrome O Laparoscopy O Endometriosis O Psoriasis
On the CMS-1500 form, populating Block 6 with "Other" would indicate that the patient is the: - ✔✔O
Insured O Guarantor O Dependent O Subscriber
In the CPT-4 coding convention, the + is used to indicate which of the following? - ✔✔O An add-on code
O A revised code O A resequenced code O A recycled CPT code
The False Claims Act (FCA) was passed to penalize contractors who knowingly file false claims. Which of
the following is considered a false claim? - ✔✔O Assigning diagnosis code to show medical necessity O
Assigning procedure codes for reimbursement O Assigning an add-on procedure code for treatment
rendered O Assigning diagnosis codes for increasing reimbursement of patient claims
Which of the following reports should a billing and coding specialist use tor review and track balances
from an insurance company by date of service? - ✔✔O Credit report O Claims report O Aging report O
Audit report
Which of the following forms is required to bill for a service that is not likely to be covered by Medicare?
- ✔✔O Provider attestation form O Advance Beneficiary Notice O HIPAA privacy notice O Informed
consent form
Which of the following claims are submitted to the payer and await processing? - ✔✔O Unassigned
claims O Claim appeals O Open claims O Closed claims
[Show More]
