What is the npi number - Study guides, Class notes & Summaries

CCMA EXAM (NHA) Billing and Coding| Medical Assisting| Questions with complete Answers| Rated A What is the purpose of the ICD-10 coding system? To classify and code diagnoses, symptoms, and procedures for healthcare billing and statistical purposes. Which coding system is used for procedural coding in outpatient and physician office settings? Current Procedural Terminology (CPT). What does the term "copayment" refer to in health insurance? A fixed amount that a patient pa...

What actions should be taken when a claim is billed for a level four office visit and paid at a level three? -Answer- Submit an appeal with documentation The standard medical abbreviation "ECG" refers to a test used to assess which of the body systems? -Answer- cardiovascular system- test checks electricity of heart According to HIPAA standards, what identifies the rendering provider on the CMS-1500 claim form in Block 24J? -Answer- NPI On the CMS-1500 claim form, blocks 14 throug...

Con of tertiary literature? lag time for updates; interpretation is dependent on author opinion; often incomplete Tertiary literature works that summarize, discuss, criticize, etc., the primary literature - guidelines, texts, ACCESS pharmacy Secondary literature index of abstract primary and teriary literature found in journals, provides a rapid method to search for primary literature - Medline, PubMed Evidence-based medicine? The conscientious explicity and judicio...

What describes the reason for a claim rejection because of Medicare NCCI edits - Improper code combinations A claim is submitted with a transposed insurance member ID number and returned to the provider. - Invalid Medigap coverage is offered to Medicare beneficiaries by whom - Private thirdparty payers What provision assures that an insured's benefits from all insurance companies do not exceed 100% of the allowable medical expense - Coordination of benefits A coroner's autopsy is compri...

CPPM Exam Prep Questions and Answers 2024 Revenue Per Visit (RPV) - Answer- Total amount collected divides by the total number of patient visits Advance Benefit Notification (ABN) - Answer- Notification given to patients advising Medicare may not cover a certain procedure or service Payment for fee for service is based on - Answer- CPT & HCPCS Level II MCO - Answer- Private Health Plan Place of Service (POS) determines correct reimbursement when - Answer- The professional component for ...

CPPM Exam Prep Questions and Answers Already Passed Revenue Per Visit (RPV) Total amount collected divides by the total number of patient visits Advance Benefit Notification (ABN) Notification given to patients advising Medicare may not cover a certain procedure or service Payment for fee for service is based on CPT & HCPCS Level II MCO Private Health Plan Place of Service (POS) determines correct reimbursement when The professional component for services provided in a facility (I.e. HOD) ar...

AAPC CPB Chapter 12 Practical ApplicationUse CPB Chapter 12_Case to answer questions 1 and 2. After review of the information provided, are there any errors on the claim form? If so, which elements are incorrect? I. Type of Insurance II. Primary insurance policy number III. Primary group number IV. Federal Tax ID number V. Billing provider and NPI A. I and II B. II and IV C. III and V D. There are no errors on this claim. - correct answer A. I and II Response Feedback: The...

AAPC CPB Chapter 12 Practical Application Questions 2024. Use CPB Chapter 12_Case to answer questions 1 and 2. After review of the information provided, are there any errors on the claim form? If so, which elements are incorrect? I. Type of Insurance II. Primary insurance policy number III. Primary group number IV. Federal Tax ID number V. Billing provider and NPI A. I and II B. II and IV C. III and V D. There are no errors on this claim. - correct answer A. I and II Respons...

Drug Safety - ANS Maximum effect with minimum amount of side effects FDA all medications must be approved by the FDA anyone who prescribes needs an NPI (national provider identifier)...used for electronic tracking for anything or any prescription of medical devices (i.e. diabetic shoes, a cane, etc.) > this is provided by the CENTERS FOR MEDICARE OR MEDICAID SERVICES = CMS. Phase I clinical trials - ANS on healthy people (occurs after testing on animals) Phase II cli...

where would you prepare hazardous drugs in a pharmacy? - correct answer In a biological safety hood How many 500 mg doses can be prepared from a 10g vial of vefazolin? - correct answer 20 doses What is required for a pharmacy to participate in a third party reimbursement program? - correct answer National Provider Identifier Number(NPI) If a paitent is experiencing a dry, nonproductive cough, What classification of drug should the patient take? - correct answer Antitussive Wh...