Cbcs exam - Study guides, Class notes & Summaries

Which of the following Medicare policies determines if a particular item or service is covered by Medicare? - National Coverage Determination (NCD) A patient's employer has not submitted a premium payment. Which of the following claim statuses should the provider receive from the third-party payer? - Denied A billing and coding specialist should routinely analyze which of the following to determine the number of outstanding claims? - Aging report Which of the following should a billing...

Which of the following is considered the final determination of the issues involving settlement of an insurance claim? Correct Answer: Adjudication A form that contains charges, DOS, CPT codes, ICD codes, fees and copayment information is called which of the following? Correct Answer: Encounter form A patient comes to the hospital for an inpatient procedure. Which of the following hospital staff members is responsible for the initial patient interview, obtaining demographic and insur...

The attending physician Correct Answer: A nurse is reviewing a patients lab results prior to discharge and discovers an elevated glucose level. Which of the following health care providers should be altered before the nurse can proceed with discharge planning? The patients condition and the providers information Correct Answer: On the CMS-1500 Claims for, blocks 14 through 33 contain information about which of the following? Problem focused examination Correct Answer: A provider perfo...

Which of the following is considered the final determination of the issues involving settlement of an insurance claim? Correct Answer: Adjudication A form that contains charges, DOS, CPT codes, ICD codes, fees and copayment information is called which of the following? Correct Answer: Encounter form A patient comes to the hospital for an inpatient procedure. Which of the following hospital staff members is responsible for the initial patient interview, obtaining demographic and insur...

The attending physician Correct Answer: A nurse is reviewing a patients lab results prior to discharge and discovers an elevated glucose level. Which of the following health care providers should be altered before the nurse can proceed with discharge planning? The patients condition and the providers information Correct Answer: On the CMS-1500 Claims for, blocks 14 through 33 contain information about which of the following? Problem focused examination Correct Answer: A provider perfo...

Medical Ethics - Standards of conduct based on moral principals. Acting within ethical behavior boundries means carrying out one's responsibilities with integrity, decency, respect, honesty, competence, fairness and trust. Compliance Regulations - Most billing related cases are based on HIPAA and the False Claims Act. HIPAA is an acronym for - Health Insurance Portability and Accountability Act of 1996. Category 1 CPT codes - Medical Procedures. Category 2 CPT codes - Supplemental C...

NHA - CERTIFIED BILLING AND CODING SPECIALIST (CBCS) STUDY GUIDE/ EXAM REVIEW QUESTIONS AND ANSWERS, VERIFIED. The symbol "O" in the Current Procedural Terminology reference is used to indicate what? - - Reinstated or recycled code In the anesthesia section of the CPT manual, what are considered qualifying circumstances? - -Addon 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? - -12...

Medical Ethics - ️️Standards of conduct based on moral principals. Acting within ethical behavior boundries means carrying out one's responsibilities with integrity, decency, respect, honesty, competence, fairness and trust. Compliance Regulations - ️️Most billing related cases are based on HIPAA and the False Claims Act. HIPAA is an acronym for - ️️Health Insurance Portability and Accountability Act of 1996. Category 1 CPT codes - ️️Medical Procedures. Category 2 CP...