Exam (elaborations)
Simcharts 82 Questions and Answers
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Exam of 1 pages for the course Simchart at Simchart (Simcharts 82)
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Simcharts 82During the spirometry test, Casey is folding her arms and shaking her legs. This
behavior might suggest: - answerCasey is fearful and nervous.
True or false? Diagnosis codes are linked to procedure codes to show medical
necessity. - answerTrue
True or false? A HCPCS Level II code would be used for Carly's spirometry procedure. -
answerFalse
With what type of insurance plan would the patient be responsible for the difference
between the billed amount and the insurance company's allowed amount? -
answerIndemnity plan
The CPT code for Casey's spirometery would be found in what section of the CPT
manual? - answerMedicine
Casey's spirometry test was performed at the Walden-Martin Family Medical Clinic.
What would the POS code for this claim? - answer11
You are doing an adjustment of $18.00 for the spirometry procedure. This is the
difference between the billed amount and the amount that insurance company paid for
the procedure. What type of plan requires that participating providers write-off the
difference between the billed amount and insurance company allowed amount? -
answerPreferred Provider plan
True or false? Only ICD-10-CM codes or CPT codes are needed to file a third party
claim. - answerFalse
If Casey's insurance was an HMO capitation plan. How much would be paid to Walden-
Martin Family Medical clinic for the spirometry? - answer0.00
Casey Hernandez is a minor. Who would be considered the guarantor for her account?
- answerHer Mother
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