Cms 1500 claim form - Study guides, Class notes & Summaries

CRCR Exam Prep What are collection agency fees based on? - correct answer A percentage of dollars collected Self-funded benefit plans may choose to coordinate benefits using the gender rule or what other rule? - correct answer Birthday In what type of payment methodology is a lump sum or bundled payment negotiated between the payer and some or all providers? - correct answer Case rates What customer service improvements might improve the patient accounts department? - correct answer Ho...

NHA CCMA EXAM | 2023/ 2024 Newly Updated Exam Review | Best Rated Guide Questions and Verified Answers| 100% Correct Q: Discussing a patients medical information is breaking what? Answer: HIPPA guidelines Q: Even if you are related to the patient you are required to have what to obtain medical information? Answer: Consent of the patient Q: The Joint Commission is responsible for what? Answer: Regulates that identifying patients is crucial to improving patient safe...

The top portion of the claim form where the insurance company address is entered - Upper margin Where the insurance type is marked with an X - Block 1 Qualifier for DOA/Date of present illness block 14 - 431 Qualifier for LMP block 14 - 484 Referring Provider block 17 - DK Ordering provider block 17 - DQ Supervising provider block 17 - DK They are arranged in 8 digit formats MM/DD/YYYY only even though the field on the form says YY - How dates are arranged for DOB They can be 6 or 8 di...

Medical Coding and Billing Certification (MCBC) Study Guide I The services medically necessary for diagnostic code linkage - correct answer What must a coder understand in order to determine the correct diagnosis code assignment? Correctly identifying primary and secondary insurance policies in order to preserve coordination of benefits - correct answer Avoiding the duplication of benefits paid by the primary and secondary insurance is achieved by: Use the combination code - correct answe...

NHA Billing and Coding test bank (CBCS)verified 2023The attending physician 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 On the CMS-1500 Claims for, blocks 14 through 33 contain information about which of the following? Problem focused examination A prov...

Block 1 - enter an x in the Other box if the patient is covered by an individual or family health plan. Or, enter an X in the Group Health Plan box if the patient is covered by a group health plan NOTE: the patient is covered by a group health plan if a group number is printed on the patient's insurance identification card (or a group number is included on case studies) Block 1a - enter the health insurance identification number as it appears on the patient's insurance card. Do not enter ...

Which of the following Medicare policies determines if a particular item or service is covered by Medicare? - CORRECT ANSWER 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? - CORRECT ANSWER Denied A billing and coding specialist should routinely analyze which of the following to determine the number of outstanding claims? - CORRECT ANSWER Agin...

CMA NHA Practice Exams 1, 2 & 3 Questions and Answers 100% Pass You are drawing on a patient who becomes dizzy, sweaty, and flushed. What are they experiencing? syncope What is the best position to place a patient in if they are experiencing critically low blood pressure? trendlenburg When should a medical assistant verify a new patient's insurance information? When the appointment is scheduled How would a medical assistant handle an irate or angry patient about a bill they had received? Li...

NHA,CBCS (2024/ 2025) Exam | Questions and Verified Answers| 100% Correct| Grade A Q: Which of the following actions by a billing and coding specialist would be considered fraud? Answer: Billing for services not provided Q: The >< symbol is used to indicate a new and revised test other than which of the following? Answer: Procedure descriptors Q: On the CMS-1500 claim form, blocks 14 through 33 contain information about which of the following? Answer: The...

NHA CBCS Exam Pep (Latest 2024/ 2025) | Questions and Verified Answers| 100% Correct| Grade A Q: A physician ordered a comprehensive metabolic panel for a 70-year-old patient who has Medicare as her primary insurance. Which form is required so the patient knows she may be responsible for payment? Answer: Advanced Beneficiary Notice is a form that is required for Medicare recipients Q: Which of the following should the BCS complete to be reimbursed for the provider's services? ...