NHA CBCS Bundled Exams/ Correctly Answere d/ Graded A+

Medical Ethics - CORRECT ANSWER Standards of conduct based on moral principals. Acting within ethical behavior boundries means carrying out one's responsibilities with integrity, decency, respect, honesty, competence, fairness and trust. Compliance Regulations - CORRECT ANSWER Most billi...

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 E...

Medical Billing & Coding as a Career - CORRECT ANSWER *Claims assistant professional or claims manager, *Coding Specialist, * Collection Manager, *Electronic Claims Processor, *Insurance Billing Specialist, * Insurance Coordinator, *Insurance Counselor, *Medical Biller, *Medical & Financial Rec...

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 t...

When a billing and coding specialist is completing the CMS-1500 claim form, which of the following information is required to process a medical claim? - CORRECT ANSWER CPT, ICD The allowed amount for a patient's office visit is $175. The copayment is $15 and the amount the insurance paid is $8...

What describes the reason for a claim rejection because of Medicare NCCI edits - CORRECT ANSWER Improper code combinations A claim is submitted with a transposed insurance member ID number and returned to the provider. - CORRECT ANSWER Invalid Medigap coverage is offered to Medicare bene...

BREACH OF CONFIDENTIAL COMMUNICATION - CORRECT ANSWER unauthorized release of information under HIPAA Generate an accounts receivable aging report - CORRECT ANSWER What action should be taken to determine whether an account is delinquent? The risks and expected outcomes of a procedure - ...

A patient's health plan is referred to as the payer of last resort. The patient is covered by which of the following health plans? Medicaid CHAMPA Medicare TRICARE - CORRECT ANS Medicaid A provider charged $500 to a claim that had an allowable amount of $400. In which of the following col...

1. Missing #1 - CORRECT ANS BLANK 2. A claim is submitted with a transposed insurance member ID number & returned to the provider. This describes the status that should be assigned to the claim by the carrier? - CORRECT ANS INVALID 3. Medigap coverage is offered to Medicare beneficiari...