NHA Medical Coding and billing exam complete solution 2022
6 views 0 purchase
Course
NHA
Institution
NHA
Place of Service - Billing and coding specialists should first divide the E & M Code by
Privacy Officer - Compliant with HIPPA the following position should be assigned in each office
Principal Diagnosis - Coding on the UB-04 Form, must sequence the diagnosis code. Which is the first listed d...
nha medical coding and billing exam complete solution 2022
Written for
NHA
All documents for this subject (1564)
Seller
Follow
SMARTSCORE
Reviews received
Content preview
NHA Medical Coding and billing exam
complete solution 2022
Place of Service - Billing and coding specialists should first divide the E & M Code by
Privacy Officer - Compliant with HIPPA the following position should be assigned in
each office
Principal Diagnosis - Coding on the UB-04 Form, must sequence the diagnosis code.
Which is the first listed diagnosis?
Urethratresia - Obstruction of the urethra is
UB04 Forms - Ambulatory surgery centers, home health center, and hospice use what
form?
Encounter forms - Form that contains of DOS, CPT, ICD codes, fees and copay
information is called
Add on Codes - Anesthesia section of CPT manual which are considered qualifying
circumstances
Title 11 - Patient presents with chest pain & shortness of breath with abnormal ECG
provider call a cardiologist. What portion of the HIPPA allows this
Code set standards pertain to all providers - HIPPA compliance guideline affecting EHR
Red - Color formats on CMS 1500 form acceptable
Patient Ledger account - Financial record generated by a provider office
Coding Compliance Plan - Which of the following includes procedures and best
practices for correct coding
Sagittal - Which of the following planes divides the body into left and right
Claim adjudication:( The term used in the industry to refer to the process of paying
claims submitted on denying them after comparing claims to the benefit or coverage
requirements) - 3rd Party payer validates a claim which takes place next
NCCI ( National Correct Coding Initiative) - Developed to reduced Medicare Program
expenditure by detecting in appropriate codes & eliminating improper coding
, 0% - Beneficiary of Medicaid/ Medicare crossover claim is responsible for the
percentage
Internal monitoring and auditing - Which of the following steps would be part of a
physicians practice compliance program
HIPPA - Which of the following acts applies to the administrative simplification
guidelines?
Accounts recievable - Patient charges that have not been paid will appear in which of
the following
adjudication - Which of the following is considered the final determination of the issues
involving settlement of an insurance claim
A billing worksheet from the patient account - A prospective billing account audit
prevents fraud by reviewing & comparing a completed claim for with which of the
following documents
Lymphatic system - Which of the following parts of the body system regulates immunity
Billing using 2- digit CPT Modifiers to indicate a procedure as preformed differs from its
usual 5 digit code - Which of the following is allowed when billing procedural codes
Direct Data entry - A biller will electronically submit a claim to the carrier via which of the
following?
A Providers office with fewer than 10 fulltime employees - Medicare enforces mandatory
submission of electronic claims for most providers. Which of the providers is allowed to
submit paper claims to Medicare?
(RAC) Recovery audit Contractor - Which of the following organizations identifies
improper payments made on CMS claims
Bone and bone marrow - IF a patient has osteomyelitis he has problems with which of
the following areas?
Preauthorization form - Which of the following is a requirement of some third-party
payers before a procedure is performed?
Precertification - Ensure appropriate insurance coverage for an outpatient procedure by
first using the following process
History - Key component if an evaluation and management service
837 - Format used to submit electronic claims and 3rd Party payer
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller SMARTSCORE. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $11.49. You're not tied to anything after your purchase.
