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CPB - CHAPTER 8, Questions and answers, 100% Accurate, rated A+

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CPB - CHAPTER 8, Questions and answers, 100% Accurate, rated A+ What does the acronym NUCC stand for? a National Unified Claims Committee b National Uniform Criteria Committee c National Unified Claims Coordinators d National Uniform Claims Committee - -d National Uniform Claims Comm...

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  • February 8, 2023
  • 7
  • 2022/2023
  • Exam (elaborations)
  • Questions & answers
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CPB - CHAPTER 8, Questions and
answers, 100% Accurate, rated A+

What does the acronym NUCC stand for?



a National Unified Claims Committee

b National Uniform Criteria Committee

c National Unified Claims Coordinators

d National Uniform Claims Committee - ✔✔-d National Uniform Claims Committee



When a provider "accepts assignment" the difference between the charged amount and the allowed
amount:



a is billed to the patient.

b can be submitted again for reconsideration.

c is written off as patient hardship.

d is considered a contractual write off. - ✔✔-is considered a contractual write off



What is the type of bill code that is reported for a free standing clinic?



a 073X

b 074X

c 085X

d 075X - ✔✔-a 073X



Guidelines for proper completion of claim forms can be found by referencing:

, a The back of the paper claim form

b Private payer website and policy manual

c Medicare Claims Processing Manual

d Both b and c - ✔✔-d Both b and c



Item 14 Qualifier is used to indicate what information?



a Onset of Current Symptoms or Illness

b Location of injury

c LMP

d both a and c - ✔✔-d both a and c



A patient is admitted to the hospital with pneumonia. Which FL would be used to report the patient's
admitting diagnosis?



a FL 68

b FL 70

c FL 65

d FL 69 - ✔✔-d FL 69



Facility charges are reported on which claim form?



a UB-05 claim form

b CMS-1500 claim form

c UB-04 claim form

d Either CMS-1500 or UB-04 claim form - ✔✔-c UB-04 claim form



The abbreviation FL refers to:

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