For non crossover claims - Study guides, Class notes & Summaries

CBCS Practice for NHA Questions and Answers Graded A+ Reinstated or recycled code The symbol "O" in the Current Procedural Terminology reference is used to indicate what? Add-on codes In the anesthesia section of the CPT manual, what are considered qualifying circumstances? Operative Report What is considered proper supportive documentation for reporting CPT and ICD codes for surgical procedures? Guidelines prior to each section Where can unlisted codes be found in th...

Where does breast tissue normally develop? - answer Along the breast line - located from under the arms down to the groin What are the 3 stages of early breast development? - answer 1. In utero 2. First 2 months of life 3. Puberty Breast development during menstruation - answer - Estrogen: Induces Ductal System development - Progesterone: Induces Lobular-Alveolar development What is Lactogenesis? - answer The initiation of milk production How many stages of Lactogensis are there?...

NHA Medical Coding and billing exam (2022/2023) Already Passed Billing and coding specialists should first divide the E & M Code by Place of Service Compliant with HIPPA the following position should be assigned in each office Privacy Officer Coding on the UB-04 Form, must sequence the diagnosis code. Which is the first listed diagnosis? Principal Diagnosis Obstruction of the urethra is Urethratresia Ambulatory surgery centers, home health center, and hospice use what form? UB04 Forms Form ...

CBCS Exam Study Guide 1 Questions with Complete Answers

covered by Medicare? - ANSWERSNational 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? - ANSWERSDenied A billing and coding specialist should routinely analyze which of the following to determine the number of outstanding claims? - ANSWERSAging report Which of the following should a billing and coding specialist use to submit a claim with supporting docum...

NHA CBCS practice test #1 Questions and Answers Graded A+ Which of the following electronic forms is used to post payments? Electronic remittance advice (ERA) If a clean claim is received March 1 of this year, which of the following is the allowable last day of payment in order to meet Medicare compliance requirements? March 30 Threading a catheter with balloon into a coronary artery and expanding it to repair arteries describes which of the following procedures? Angioplasty ...

Which of the following techniques offers the least constructive information to someone being disciplined? Providing advice Focusing on behavior Providing alternatives Focusing on observations The correct answer is A. The purpose of disciplining is for a manager to provide constructive information to help the subordinate become aware of how his or her actions affect the organization's system. The goal is to provide maximum information with minimum threat. Providing advice is not constr...

CPH EXAM 499 Questions with Verified Answers Attributable risk - CORRECT ANSWER Rate of disease in exposed individuals that can be attributed to the exposure. Or the proportion of all cases that can be attributed to a particular exposure. Adjusted rate - CORRECT ANSWER Effects of differences in composition of pops being compared have been minimized by statistical methods. ex: regression analysis and strandardization -often used on rates or relative risks Ecological Fallacy - CORRECT ...

For non-crossover claims, the billing and coding specialist should prepare an additional claim for the secondary payer and send it with a copy of which? Remittance Advice If a clean claim is received on March 1 of this year, which is the allowable last day of payment in order to meet Medicare compliance requirements? March 30 A Medicare non-participating (non-PAR) provider's approved payment amount is $200 for a lobectomy and the deductible has been met. Which amount is the limi...

Medicare-State Exam Study with Absolute Solution Medi-Medi beneficiary - An individual who is eligible for both Medicaid and Medicare is a______. Medigap insurance policies - Medicare Part B deductibles, coinsurance,and some noncovered services can be covered by buying policies from federally approved private insurance carriers. These policies are known as_____. crossover claims - Claims for Medi-Medi beneficiaries are first submitted to Medicare and then sent to Medicaid, making them k...