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The symbol "O" in the Current Procedural Terminology reference is used to indicate what? - Reinstated or recycled code In the anesthesia section of the CPT manual, what are considered qualifying circumstances? - Add-on codes As of April 1, 2014 what is the maximum number of diagnoses that can ...

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? - INVALID 3. Medigap coverage is offered to Medicare beneficiaries by? - PRIVATE THIRD-PARTY PAYER 4. This provision ensu...

Which of the following is considered the final determination of the issues involving the settlement of an insurance claim? - Adjudication - is the process of putting an insurance claim through a series of edits for final determination. Chapter 4 A form that contains charges, DOS, CPT codes, fees...

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 ...

A patient presents to the provider with chest pain and shortness of breath. After an unexpected ECG result, the provider calls a cardiologist and summarizes the patient's symptoms. What portion of HIPAA allows the provider to speak to the cardiologist prior to obtaining the patient's consent? - ...

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 pay...

The test used to check for brain abnormalities? - EEG(Electroencephalography) If a claim is denied because a service was not covered by an insurer and there were no errors on the claim, what would be the next step in the accounts receivable process? - The claim would not be resubmitted and the pat...

All of the following are correct regarding add-on codes except: A. They can be reported as stand-alone codes B. They are exempted from modifier -51 C. They are preformed in addition to a primary procedure D. The add-on procedures must be performed by the same provider. - A What is a preexisting...