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NHA - Certified Billing and Coding Specialist (CBCS) Study Guide Questions (Solved)
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NHA - Certified Billing and Coding Specialist (CBCS)Study Guide Questions (Solved)
The symbol "O" in the Current Procedural Terminology reference is used to
indicate what? - correct answer ✅Reinstated or recycled code
In the anesthesia section of the CPT manual, what are considered qualifying
circumstances? - correct answer ✅Add-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 answer ✅12
What is considered proper supportive documentation for reporting CPT and
ICD codes for surgical procedures? - correct answer ✅Operative report
What action should be taken first when reviewing a delinquent claim? -
correct answer ✅Verify the age of the account
A claim can be denied or rejected for which of the following reasons? -
correct answer ✅Block 24D contains the diagnosis code
,NHA - Certified Billing and Coding Specialist (CBCS)
Study Guide Questions (Solved)
A coroner's autopsy is comprised of what examinations? - correct answer
✅Gross Examination
Medigap coverage is offered to Medicare beneficiaries by whom? - correct
answer ✅Private third-party payers
What part of Medicare covers prescriptions? - correct answer ✅Part C
What plane divides the body into left and right? - correct answer ✅Sagittal
Where can unlisted codes be found in the CPT manual? - correct answer
✅Guidelines prior to each section
Ambulatory surgery centers, home health care, and hospice organizations
use which form to submit claims? - correct answer ✅UB-04 Claim Form
What color format is acceptable on the CMS-1500 claim form? - correct
answer ✅Red
, NHA - Certified Billing and Coding Specialist (CBCS)
Study Guide Questions (Solved)
Who is responsible to pay the deductible? - correct answer ✅Patient
A patient's health plan is referred to as the "payer of last resort." What is the
name of that health plan? - correct answer ✅Medicaid
Informed Consent - correct answer ✅Providers 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 answer ✅A patient presents for treatment, such
as extending an arm to allow a venipuncture to be performed.
Clearinghouse - correct answer ✅Agency that converts claims into
standardized electronic format, looks for errors, and formats them according
to HIPAA and insurance standards.
Individually Identifiable - correct answer ✅Documents that identify the
person or provide enough information so that the person can be identified.
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