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Billing and Coding Final Exam Questions with 100% correct answers
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A claims assistance professional (CAP) acts as an informal representative of patients and helps patients interpret insurance contracts. correct answersFalse Which level of education is generally required for one who seeks employment as an insurance coder? correct answersc) Completion of an accre...

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  • September 22, 2023
  • 12
  • 2023/2024
  • Exam (elaborations)
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  • billing and coding final exam questions

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  • Billing and Coding F
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Billing and Coding Final Exam Questions
A claims assistance professional (CAP) acts as an informal representative of patients and helps patients interpret insurance contracts. correct answersFalse
Which level of education is generally required for one who seeks employment as an insurance coder? correct answersc) Completion of an accredited program for coding certification
The amount of money an insurance billing specialist earns is dependent on which factors? correct answersd) All of the above: knowledge, experience, size of employing institution
Medical etiquette refers to... correct answersa) consideration for others
A billing specialist is entrusted with.... correct answersd) All of the above: holding patients' medical information in confidence, collecting monies, being a reliable resource for coworkers
Standards of conduct by which an insurance billing specialist determines the propriety of his or her behavior in a relationship are know as medical _____. correct answersethics
It is _____ to report incorrect information to private insurance carriers because this can possible damage
the individual and the integrity of the database. correct answersunethical
The Office of Civil Right enforces... correct answersprivacy and security rules.
Privileged information is related to the treatment and progress of patients. correct answersTrue
The focus on the health care practice setting and reducing administrative costs and burdens are the goals
of... correct answersHIPAA Title II Administrative Simplification Which 3 measures should be taken by a coder who has knowledge of fraud or abuse? correct answersNotify the provider verbally and in writing; document the false statement or representation; don't discuss the problem with anyone who is not involved
The contract is a worker's comp case exists between the... correct answersphysician and insurance company
In health insurance, the insured is also known as correct answerssubscriber, or member, or policyholder, or recipient.
If a child has health insurance coverage from 2 parents, according to the birthday law... correct answersthe health plan of the person whose birthday (month and day, not year) falls earlier in the calendar year pays first. If same b-day, person whose policy has been in effect longest.
Conditions that existed and were treated before the health insurance policy was issued are called... correct answerspre-existing conditions
The act created to protect workers and their families so that they can get and maintain health insurance if they change or lose their jobs is called the correct answersHIPAA
Assignment of benefits is... correct answersthe transfer of one's legal right to collect an amount payable under an insurance contract.
The SOAP in patient medical record charting may be difined as correct answersb) subjective, objective, assessment, paln
How should an entry in a patient's electronic medical record be corrected? correct answersa) input a note of which section is in error and enter correct data with details of why the correction is necessary and authenticate with electronic signature, date, and time.
The official American Hospital Association policy states that abbreviations should be totally eliminated from the more vital section of the record, such as the... correct answersd) all of the above: final dx, operative notes, discharge summaries

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