a third party payer requests a patients informatio
Written for
NHA - Certified Billing And Coding Specialist
NHA - Certified Billing And Coding Specialist
1
review
By: infinitiejohnson • 5 months ago
Helping alot
By: Qualitydocs • 5 months ago
Thank you for the review, I appreciate your feedback and feel free to reach out for more resourceful documents. All the best in your studies.
CBCS
Final
Practice
Test
(NHA)
which
of
the
following
is
a
key
protection
standard
of
the
HIPAA
privacy
rule
that
requires
entities
and
business
associates
to
limit
the
use
or
release
of
protected
health
information
phi)?
minimum
necessary
A
billing
and
coding
specialist
is
preparing
a
claim
that
includes
code
A9698.
Which
of
the
following
actions
should
the
specialist
take
to
ensure
the
claim
will
be
paid
the
first
time
it
is
submitted?
append
the
appropriate
physical
status
modifier
to
the
code
Brainpower
Read
More
Previous
Play
Next
Rewind
10
seconds
Move
forward
10
seconds
Unmute
0:00
/
0:00
Full
screen
Which
of
the
following
describes
the
status
of
a
claim
that
is
in
process
and
does
not
include
required
preauthorization
for
a
service?
suspended
A
third-party
payer
requests
a
patients
information
related
to
a
claim.
A
billing
and
coding
specialist
should
ensure
that
which
of
the
following
is
included
in
the
patients
file
before
providing
the
information?
signed
release
of
information
form
A
lightning
bolt
symbol
that
precedes
a
code
indicates
which
of
the
following?
code
indicates
a
service
is
pending
FDA
approval A
billing
and
coding
specialist
is
using
an
accounts
receivable
aging
report
to
determine
which
accounts
should
be
sent
to
collection.
According
to
best
practice,
which
of
the
following
accounts
should
the
specialist
send
to
collections?
An
account
that
has
a
balance
of
$600
and
135
days
old.
Which
of
the
following
CPT
codes
should
a
billing
and
coding
specialist
use
to
indicate
a
total
prostate
specific
antigen
(PSA)
test?
84153
Which
of
the
following
is
the
purpose
of
a
claims
clearinghouse?
To
identify
errors
that
will
prevent
a
claim
from
being
paid
Which
of
the
following
describes
a
claim
that
is
120
days
old?
delinquent
Which
of
the
following
plans
requires
providers
to
adhere
to
managed
care
provisions?
health
maintenance
organization
(HMO)
plan
According
to
the
ICD-10-CM
coding
guidelines,
the
fourth
character
of
an
ICD-10-CM
diagnosis
code
indicates
which
of
the
following?
anatomic
site
Which
of
the
following
codes
are
used
to
code
diseases,
injuries,
impairments,
and
other
health-related
problems?
ICD-10-CM
codes
An
internal
retrospective
billing
account
audit
prevents
fraud
and
abuse
by
reviewing
and
comparing
completed
claim
forms
with
which
of
the
following?
Documentation
of
compliance
plans
which
of
the
following
types
of
insurance
do
health
care
professionals
purchase
to
protect
themselves
from
liability
relating
to
claims
arising
from
patient
treatments?
medical
malpractice
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller Qualitydocs. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $9.99. You're not tied to anything after your purchase.