Health Care > QUESTIONS & ANSWERS > NHA - Certified Billing and Coding Specialist (CBCS) Study Guide – COMPLETE SOLUTIONS (All)

Also available in bundle ( Click Here )

NHA - Certified Billing and Coding Specialist (CBCS) Study Guide – COMPLETE SOLUTIONS

Document Content and Description Below

NHA - Certified Billing and Coding Specialist (CBCS) Study Guide – COMPLETE SOLUTIONS The symbol "O" in the Current Procedural Terminology reference is used to indicate what? - ✔✔Reinstated ... or recycled code In the anesthesia section of the CPT manual, what are considered qualifying circumstances? - ✔✔Addon codes As of April 1, 2014 what is the maximum number of diagnoses that can be reported on the CMS-1500 claim form before a further claim is required? - ✔✔12 What is considered proper supportive documentation for reporting CPT and ICD codes for surgical procedures? - ✔✔Operative report What action should be taken first when reviewing a delinquent claim? - ✔✔Verify the age of the account A claim can be denied or rejected for which of the following reasons? - ✔✔Block 24D contains the diagnosis code A coroner's autopsy is comprised of what examinations? - ✔✔Gross Examination Medigap coverage is offered to Medicare beneficiaries by whom? - ✔✔Private third-party payers What part of Medicare covers prescriptions? - ✔✔Part C What plane divides the body into left and right? - ✔✔Sagittal Where can unlisted codes be found in the CPT manual? - ✔✔Guidelines prior to each section Ambulatory surgery centers, home health care, and hospice organizations use which form to submit claims? - ✔✔UB-04 Claim Form What color format is acceptable on the CMS-1500 claim form? - ✔✔Red Who is responsible to pay the deductible? - ✔✔Patient A patient's health plan is referred to as the "payer of last resort." What is the name of that health plan? - ✔✔Medicaid Informed Consent - ✔✔Providers explain medical or diagnostic procedures, surgical interventions, and the benefits and risks involved, giving patients an opportunity to ask questions before medical intervention is provided. Implied Consent - ✔✔A patient presents for treatment, such as extending an arm to allow a venipuncture to be performed. Clearinghouse - ✔✔Agency that converts claims into standardized electronic format, looks for errors, and formats them according to HIPAA and insurance standards. Individually Identifiable - ✔✔Documents that identify the person or provide enough information so that the person can be identified. De-identified Information - ✔✔Information that does not identify an individual because unique and personal characteristics have been removed. Consent - ✔✔A patient's permission evidenced by signature. [Show More]

Last updated: 3 years ago

Preview 1 out of 14 pages

Buy Now

Instant download

We Accept: