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NHA CET > QUESTIONS and ANSWERS > NHA - Certified Billing and Coding Specialist (CBCS) Study Guide (All)

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

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The symbol "O" in the Current Procedural Terminology reference is used to indicate what? - ANSWER Reinstated or recycled code In the anesthesia section of the CPT manual, what are considered qualify ... ing circumstances? - ANSWER 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? - ANSWER 12 What is considered proper supportive documentation for reporting CPT and ICD codes for surgical procedures? - ANSWER Operative report What action should be taken first when reviewing a delinquent claim? - ANSWER Verify the age of the account A claim can be denied or rejected for which of the following reasons? - ANSWER Block 24D contains the diagnosis code A coroner's autopsy is comprised of what examinations? - ANSWER Gross Examination Medigap coverage is offered to Medicare beneficiaries by whom? - ANSWER Private third-party payers What part of Medicare covers prescriptions? - ANSWER Part C What plane divides the body into left and right? - ANSWER Sagittal Where can unlisted codes be found in the CPT manual? - ANSWER Guidelines prior to each section Ambulatory surgery centers, home health care, and hospice organizations use which form to submit claims? - ANSWER UB-04 Claim Form What color format is acceptable on the CMS-1500 claim form? - ANSWER Red Who is responsible to pay the deductible? - ANSWER Patient A patient's health plan is referred to as the "payer of last resort." What is the name of that health plan? - ANSWER Medicaid Informed Consent - ANSWER 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. [Show More]

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