Health Care > STUDY GUIDE > NHA - Certified Billing and Coding Specialist (CBCS) Study Guide/ A+Guide/Updated (All)

NHA - Certified Billing and Coding Specialist (CBCS) Study Guide/ A+Guide/Updated

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The symbol "O" in the Current Procedural Terminology reference is used to indicate what? (ANS- Reinstated or recycled code In the anesthesia section of the CPT manual, what are considered qualify... ing circumstances? (ANS- Add-on 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? (ANS- 12 What is considered proper supportive documentation for reporting CPT and ICD codes for surgical procedures? (ANS- Operative report What action should be taken first when reviewing a delinquent claim? (ANS- Verify the age of the account A claim can be denied or rejected for which of the following reasons? (ANS- Block 24D contains the diagnosis code A coroner's autopsy is comprised of what examinations? (ANS- Gross Examination Medigap coverage is offered to Medicare beneficiaries by whom? (ANS- Private third-party payers What part of Medicare covers prescriptions? (ANS- Part C What plane divides the body into left and right? (ANS- Sagittal Where can unlisted codes be found in the CPT manual? (ANS- Guidelines prior to each section Ambulatory surgery centers, home health care, and hospice organizations use which form to submit claims? (ANS- UB-04 Claim Form What color format is acceptable on the CMS-1500 claim form? (ANS- Red Who is responsible to pay the deductible? (ANS- Patient A patient's health plan is referred to as the "payer of last resort." What is the name of that health plan? (ANS- Medicaid Informed Consent (ANS- 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 (ANS- A patient presents for treatment, such as extending an arm to allow a venipuncture to be performed. Clearinghouse (ANS- Agency that converts claims into standardized electronic format, looks for errors, and formats them according to HIPAA and insurance standards. Individually Identifiable (ANS- Documents that identify the person or provide enough information so that the person can be identified. De-identified Information (ANS- Information that does not identify an individual because unique and personal characteristics have been removed. Consent (ANS- A patient's permission evidenced by signature. Authorizations (ANS- Permission granted by the patient or the patient's representative to release information for reasons other than treatment, payment, or health care operations. [Show More]

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