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

NHA,CBCS Exam (New 2024/ 2025 Update) |Questions and Verified Answers| 100% Correct| A Grade QUESTION Which of the following formats are used to submit electronic claims to a third-party payer? Answer: 837 QUESTION Urine moved from the kidneys to the bladder through which of the following parts of the body? Answer: Ureters QUESTION 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...

according to CPT, a repair of a laceration that includes retention sutures would be considered what type of closure? complex closure identify the 2 digit modifier that may be reported to indicate a doctor performed the postoperative management of a patient, but ANOTHER doctor performed the surgical procedure: -55 according to the QHDDS, what is the definition of "other diagnoses"? "other diagnoses" is interpreted as additional conditions that affect patient care in terms of ...

NHA,CBCS Exam (Latest 2024/ 2025 Update) | Questions and Verified Answers| 100% Correct| Grade A Q: Which of the following would most likely result in a denial on a Medicare claim? Answer: An experimental chemotherapy medication for a patient who has stage III renal cancer Q: Which of the following pieces of guarantor information is required when establishing a patient's financial record? Answer: Phone number Q: A provider surgically punctures through the space betw...

CCMA EXAM (2022/2023) (NHA) QUESTIONS WITH CERTIFIED SOLUTIONS CELL STRUCTURES IS THE SOURCE OF ENERGY FOR A CELL? MITOCHONDIRA A MA IS TESTING A PATIENT'S VISUAL ACUITY USING A SNELLEN CHART. WHICH ACTIONS SHOULD MA TAKE? MAKE SURE THE PATIENT DOES NOT LEAN FOWARD DURING THE TEST. DURING A ROUTINE VENIPUNCTURE. THE PATIENT BECOMES PALE & DIAPHORETIC. WHAT CONDITION IS MOST LIKELY TO OCCUR IN THIS PATIENT? SYNCOPE A PATIENT CALLS THE CLINIC TO CANCEL A POSTOPERATIVE APPOINTMENT & STATES THAT...

NHA CBCS CERTIFICATION EXAM QUESTIONS AND ANSWERS 100% PASS 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 respo...

AAPC CPB Practice Exam (500 Questions, All Answered Correctly) Updated 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 bef...

NHA,CBCS | Questions and Verified Answers| 100% Correct| Grade A (2024/ 2025 Update) Q: A beneficiary of a Medicare/Medicaid crossover claim submitted by a participating provider is responsible for which of the following percentages? Answer: 0% Q: Which of the following coding manuals is used primarily to identify products, supplies, and services? Answer: HCPCS level II manual Q: A billing and coding specialist needs to know how much Medicare paid on a claim before b...

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 Aging repor...

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. D. Joe, because his birth month and day are before...

3-Day Rule - ANSWER Medicare regulation requiring that certain outpatient services within 72 hours of an inpatient admission must be included in the patient's inpatient claim and reimbursed under a DRG. 8371 - ANSWER HIPAA standard transaction used by hospitals to submit claims electronically. 837P - ANSWER HIPAA standard transaction that replaces the 1500 and is required of almost all physicians. 838 - ANSWER quarterly Medicare Credit Balance Report 1450 - ANSWER CMS 1450 form; ano...