NHA - Certified Billing and Coding Specialist CBCS Exam-with 100% verified solutions-2022-2023
Which of the following describes the reason for claim rejection because of medicare NCCI edits?
Medicare NCCI edits will tr
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NHA - Certified Billing and Coding Specialist CBCS Exam-with 100% verified solutions-2022-2023
Which of the following describes the reason for claim rejection because of medicare NCCI edits?
Medicare NCCI edits will trigger a claim rejection for improper codes combinations.
A claim is submitted with a transposed ins member ID number & returned to the provider. Which of the following describes the status that should be assigned to the claim by the carrier?
An invalid claim contains illogical or incorrect info & is returned to the provider unprocessed.
Medigap coverage is offered to medicare beneficiaries by which of following ?
Private Third-Party Payers
Which of the following provisions ensures that an insured benefits from all ins companies do not exceed 100% of allowable medical expenses?
Coordination of benefits
A coroner's autopsy is compromised of which of the following examinations?
Gross examination
Which of the following statements is true regarding the release of pt records?
Pt cannot access psychotherapy notes or info compiled for lawsuit
Which of following actions by a billing & coding specialist would by considered fraud?
Billing for services not provided
Which of the following components of an explanation of benefits expedites the processed of phone appeal?
Claim control number the claim control number expedites the process of phone appeal
On the CMS-1500 claims form, blocks 14 through 33 contain ifo about which of the following?
The pts condition & the providers info.
A billing and coding specialist should understand that the financial record source that is generated by a providers office is called?
Pt ledger account
Which of the following medical terms refers to the sac
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