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NHA CBCS #4 EXAM 2024!!!
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NHA CBCS #4 EXAM 2024!!!
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NHA CBCS #4 EXAM 2024!!!CAP - -Claims assistance Professional
-AHIMA - -American Health Information Management Association
-In locating a diagnosis, look up the main term, which is the - -Disease or
condition
-Reasons for documentation are - -Defense of a professional liability claim.
Insurance carriers require accurate documentation that supports procedure
and diagnostic codes.
-SOAP is - -Subjective, objective, assessment, plan
-A diseased condition or state is known as - -Morbidity.
-According to birth law, if both parents have the same bday - -The hour of
birth determines who pays first.
-What is the correct term to determine if a procedure is covered and
medically necessary. - -Pre-authorization
-Obtaining and recording patient data before the person's first visit is known
as - -Pre-registration
-Discovering the maximum $ amount that the carrier will pay for a
procedure is called - -Predetermination
-Criteria used by insurance companies when making decisions to limit or
deny payment of medical services or procedures must be justified by the
patient's symptoms and diagnosis are called - -Medical necessity
-If husband & wife both have insurance through their employers, and each
has added the spouse to their primary insurance plans for coverage. If the
wife is seen for treatment then her plan is considered - -Primary
-The health insurance claim form, also known as universal claim form is
often called - -CMS-1500
-If a professional liability claim is filed by a patient, good helps establish a
strong defense. - -Documentation
-Insurance claim submitted on paper - -Paper claim
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