NHA - Certified Billing and Coding Specialist (CBCS) Study Guide 2022/2023
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NHA
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NHA
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?
Add-on codes
As of April 1, 2014 what is the maximum number of diagnoses th...
nha certified billing and coding specialist cbcs study guide 20222023
the symbol o in the current procedural terminology reference is used to indicate what
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NHA - Certified Billing and Coding
Specialist (CBCS) Study Guide
The symbol "O" in the Current Procedural Terminology reference is used to indicate what? correct
answerReinstated or recycled code
In the anesthesia section of the CPT manual, what are considered qualifying circumstances? correct
answerAdd-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? correct answer12
What is considered proper supportive documentation for reporting CPT and ICD codes for surgical
procedures? correct answerOperative report
What action should be taken first when reviewing a delinquent claim? correct answerVerify the age of
the account
A claim can be denied or rejected for which of the following reasons? correct answerBlock 24D contains
the diagnosis code
A coroner's autopsy is comprised of what examinations? correct answerGross Examination
Medigap coverage is offered to Medicare beneficiaries by whom? correct answerPrivate third-party
payers
What part of Medicare covers prescriptions? correct answerPart C
What plane divides the body into left and right? correct answerSagittal
, Where can unlisted codes be found in the CPT manual? correct answerGuidelines prior to each section
Ambulatory surgery centers, home health care, and hospice organizations use which form to submit
claims? correct answerUB-04 Claim Form
What color format is acceptable on the CMS-1500 claim form? correct answerRed
Who is responsible to pay the deductible? correct answerPatient
A patient's health plan is referred to as the "payer of last resort." What is the name of that health plan?
correct answerMedicaid
Informed Consent correct answerProviders 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 correct answerA patient presents for treatment, such as extending an arm to allow a
venipuncture to be performed.
Clearinghouse correct answerAgency that converts claims into standardized electronic format, looks for
errors, and formats them according to HIPAA and insurance standards.
Individually Identifiable correct answerDocuments that identify the person or provide enough
information so that the person can be identified.
De-identified Information correct answerInformation that does not identify an individual because
unique and personal characteristics have been removed.
Consent correct answerA patient's permission evidenced by signature.
Authorizations correct answerPermission granted by the patient or the patient's representative to
release information for reasons other than treatment, payment, or health care operations.
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