Exam (elaborations)
NHA CBCS #4 EXAM 2024!!!
- Course
- Institution
NHA CBCS #4 EXAM 2024!!!
[Show more]
Seller
Follow
Victorious23
Reviews received
Content preview
NHA CBCS #4 EXAM 2024!!!CAP - -Claims assistance Professional
-AHIMA - -American Health Information Management Association
-In locating a diagnosis, look up the main term, which is the - -Disease or
condition
-Reasons for documentation are - -Defense of a professional liability claim.
Insurance carriers require accurate documentation that supports procedure
and diagnostic codes.
-SOAP is - -Subjective, objective, assessment, plan
-A diseased condition or state is known as - -Morbidity.
-According to birth law, if both parents have the same bday - -The hour of
birth determines who pays first.
-What is the correct term to determine if a procedure is covered and
medically necessary. - -Pre-authorization
-Obtaining and recording patient data before the person's first visit is known
as - -Pre-registration
-Discovering the maximum $ amount that the carrier will pay for a
procedure is called - -Predetermination
-Criteria used by insurance companies when making decisions to limit or
deny payment of medical services or procedures must be justified by the
patient's symptoms and diagnosis are called - -Medical necessity
-If husband & wife both have insurance through their employers, and each
has added the spouse to their primary insurance plans for coverage. If the
wife is seen for treatment then her plan is considered - -Primary
-The health insurance claim form, also known as universal claim form is
often called - -CMS-1500
-If a professional liability claim is filed by a patient, good helps establish a
strong defense. - -Documentation
-Insurance claim submitted on paper - -Paper claim
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 Victorious23. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $8.49. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
75759 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy study notes for 14 years now