Aarp dos - Study guides, Class notes & Summaries

Which of the following is considered the final determination of the issues involving settlement of an insurance claim? - Adjudication A form that contains charges, DOS, CPT codes, ICD codes, fees and copayment information is called which of the following? - 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 insurance information, and documenting the ch...

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 attending physician On the CMS-1500 Claims for, blocks 14 through 33 contain information about which of the following? - The patients condition and the providers information A provider performs an examination of a patient's throat during an office visit. Which of the ...

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...

NHA CBCS certification final exam with 100% correct answers 2024. A beneficiary of a medicare/medicaid crossover claim submitted by a participating provider is responsible for which of the following percentages? - 0% A biller will electronically submit a claim to the carrier via which of the following? - Direct data entry A billing and coding specialist is review a CMS-1500 claim form. The assignment of the benefits box has been checked yes. The check box indicates which of the follo...

The attending physician - 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 - ANSWER On the CMS-1500 Claims for, blocks 14 through 33 contain information about which of the following? Problem focused examination - ANSWER A provider performs an examination of a pa...

When is the principle diagnosis applicable? - Inpatient Hospital coding The term "encounter records" means: - claim What is the name of the act designed to address the collection practices of third- party debt collectors and attorneys who regularly collect debts for others? - Fair debt collection practices act (FDCPA) Medigap insurance may cover - the deductible not covered under Medicare Which of the following coding manuals is used primarily to identify products, supplies, and servic...

NHA Billing and Coding practice test (CBCS) Questions and Answers, Graded A+ The 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 f...

NHA Practice Test 1 Questions and Answers Already Passed Which of the following should the billing and coding specialist include in an authorization to release information? The entity to whom the information is to be released. Which of the following actions should the billing and coding specialist take if they observes a colleague in an unethical situation? Report the incident to a supervisor, whom will then report to the company compliance officer if need be. When posting payment accurately,...

The attending physician - 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 - ANSWER On the CMS-1500 Claims for, blocks 14 through 33 contain information about which of the following? Problem focused examination - ANSWER A provider performs an examination of a pa...

AAPC CPB Practice Exam with complete rated solutions Joe and Mary are a married couple and both carry insurance from their employers. Joe was born on February 23, 1977 and Mary was born on April 4, 1974. Using the birthday rule, who carries the primary insurance for their children for billing? A. Joe, because he is the male head of the household. B. Mary, because her date of birth is the 4th and Joe's date of birth is the 23rd. C. Mary, because her birth year is before Joe's birth year. ...