Which of the subsequent electronic bureaucracy is used to put up bills? - ANSElectronic
remittance advice (ERA)
If a easy claim is acquired March 1 of this year, which of the following is the allowable
remaining day of charge so that it will meet Medicare compliance requirements? -
ANSMarch 30
Threading a catheter with balloon right into a coronary artery and expanding it to repair
arteries describes which of the following approaches? - ANSAngioplasty
The authorization range for a carrier that become approved before the carrier was rendered
is indicated wherein of the subsequent blocks at the CMS-1500 declare shape? - ANSBlock
23
Which of the subsequent blocks of the CMS-1500 declare form indicates an ICD prognosis
code? - ANSBlock 21
A affected person who has an HMO coverage plan desires to see a consultant for a
particular problem. From which of the subsequent need to the patient reap an referral? -
ANSPrimary Care Provider
A provider surgically punctures thru the gap between the patient's ribs using an aspirating
needle to withdraw fluid from the chest hollow space. Which of the following is the call of this
system? - ANSPleurocentesis
Which of the following standardized codecs are used inside the electronic filing of claims? -
ANSHIPAA preferred transactions
Which of the subsequent blocks at the CMS-1500 declare form is used to just accept
challenge of gain? - ANSBlock 27
On the CMS-1500 declare shape, blocks 14 thru 33 comprise records approximately which
of the subsequent? - ANSThe patient's situation and the provider's facts
The rationalization of advantages states the quantity billed became $eighty. The allowed
amount is $60, and the affected person is required to pay a $20 copayment. Which of the
subsequent describes the coverage take a look at amount to be published? - ANS$40
Which of the following ought to a billing coding professional use to post a claim with
supporting documents? - ANSClaims Attachment
, When reviewing an established patient's insurance card, the billing and coding expert
notices a minor exchange from the existing card on report. Which of the following actions
need to the billing and coding expert take? - ANSPhoto reproduction both facets of the card
Which of the following accurately describes code symbols observed in the CPT guide? -
ANSA product pending FDA approval is indicated as a lightning-bolt symbol
Which of the following Medicare regulations determines if a particular object or service is
protected by using Medicare? - ANSNational Coverage Determination (NCD)
Which of the subsequent options is considered right supportive documentation for reporting
CPT and ICD codes for surgical processes? * - ANSOperative record
Which of the subsequent is an instance of a statement code from a proof of blessings file? -
ANSContractual allowance
Which of the subsequent bureaucracy ought to the billing and coding expert transmit to the
coverage carrier for repayment of inpatient sanatorium offerings? - ANSUB-04
A claim is denied because of termination of coverage. Which of the subsequent moves need
to the billing and coding expert take subsequent? - ANSFollow up with the patient to
determine present day call, address, and coverage carrier for resubmission
Which of the following country wide issuer identifiers (NPIs) is required in Block 33a of a
CMS-1500 claim shape? - ANSBilling provider
Which of the subsequent is a purpose a declare might be denied? - ANSIncorrectly
connected codes
The unlisted codes may be found in which locations within the CPT manual? - ANSThe
recommendations previous to each section
When the remittance recommendation is sent from the third-party payer to the provider,
which of the following movements should the billing and coding expert carry out first? -
ANSEnsure proper price has been made
Which of the following symbols shows a revised code? - ANSTriangle
Which of the subsequent terms is used to describe the vicinity of the stomach, the spleen, a
part of the pancreas, part of the liver, and a part of the small and massive intestines? -
ANSLeft Upper Quadrant
When coding a the front torso burn, which of the following percentages ought to be coded? -
ANS18%
Which of the subsequent is real regarding Medicaid eligibility? - ANSPatient eligibility is
decided month-to-month
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