CBCS/NHA -CBCS Exam/Study Guide Bundle all Graded A

A patient's health plan is referred to as the payer of last resort. The patient is covered by which of the following health plans? Medicaid CHAMPA Medicare TRICARE - ANSWER Medicaid A provider charged $500 to a claim that had an allowable amount of $400. In which of the following columns sho...

ambulatory - ANSWER-care that does not require an over night hospital stay attending physician - ANSWER-a physician who has graduated from a college of medicine or osteopathy and is licensed by the appropriate state board to practice medicine biopsy - ANSWER-removing tissue from a living perso...

What is the maximum number of ICD codes that can be entered on a CMS-1500 claim form as of February 2012? - ANSWER-12 Which of the following is considered the final determination of the issues involving settlement of an insurance claim? - ANSWER-Adjudication Which of the following qualifies as...

The attending physician - ANSWER-A nurse is reviewing a patients lab results prior to discharge and discovers an elevated glucose level. Which of the following health care providers should be altered before the nurse can proceed with discharge planning? The patients condition and the providers in...

Necessity - ANSWER-The concept that every procedure or service reported to a third-party payer must be linked to a condition code that justifies the procedure or service is called medical HCPCS level II - ANSWER-Which codes supplement procedure, services and supplies not classified in CPT? Cor...

a deliberate deception intended to produce unlawful gain - ANSWER-Medical fraud is.. Incidents or practices, not usually considered fraudulent, that are inconsistent with the accepted medical business or fiscal practices in the industry. - ANSWER-What is medical abuse? Medicaid - ANSWER-Which ...

What is the difference between informed and implied consent? - ANSWER-informed consent=explaining procedures or diagnosis as well as surgical intervention. implied consent=patient is voluntarily undergoes treatment, the assume consent. What is the difference between fraud and abuse? - ANSWER-frau...

encounter form - ANSWER-a list of the procedures and charges for a patient's visit chargemaster - ANSWER-listing of the services, procedures, drugs and supplies that can be applied to a patients bill bullet - ANSWER-located to the left of a code number identifies new procedure and services ad...

When was the Health Information and Accountability Act (HIPAA) created? - ANSWER-1996 What are Medical Ethics? - ANSWER-Standards of conduct based on moral principals. What are the two provisions of HIPPA? - ANSWER-1. Insurance Reform 2. Administrative Simplification What is the False Cla...

Medical Billing & Coding as a Career - ANSWER-*Claims assistant professional or claims manager, *Coding Specialist, * Collection Manager, *Electronic Claims Processor, *Insurance Billing Specialist, * Insurance Coordinator, *Insurance Counselor, *Medical Biller, *Medical & Financial Records Manager,...