NHA CBCS EXAM/42 QUESTIONS
AND ANSWERS 2024
a billing and coding specialist should enter the prior authorization number on
the CMS-1500 claim form in which of the following blocks? - -block 23
-which of the following claims would appear on an aging report? - -a
delinquent claim that is 60 days old would appear on an aging report
-which of the following is the primary information used to determine the
priority of collection letters to patients? - -the age of the account
-which of the following forms must the patient or representative sign to
allow the release of protected health information? - -an authorization
-CMS-1500 "the assignment of benefits box" has been checked "yes." The
checked box indicates: - -The provider receives payment directly from the
payer to the provider
-after a third-party payer validates a claim, which of the following takes
place next: - -claim adjudication
-consent - -a verbal or written agreement that gives approval to release PHI
-The National Correct Coding Initiative (NCCI) - -was implemented in 1996
to detect inappropriate codes and eliminate improper coding practices
-Z codes - -identify encounters for reasons other than illness and injury,
such as immunization visits
-add modifier -50 to codes - -when reporting a bilateral procedure
-when services are covered by Medicare and Medicaid - -the beneficiary is
not responsible for payment
-the billing and coding specialist should take follow-up action on unpaid
claims when... - -30 days have passed
-in 1995 and 1997, which of the following introduced documentation
guidelines to Medicare carriers to ensure that services paid for have been
provided and were medically necessary? - -The Centers for Medicare and
Medicaid Services (CMS) enforce coding requirements
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