UROLOGIST - CORRECT ANSWER: A _____________________________
would be the provider who would perform an orchiopexy
EVALUATION AND MANAGEMENT CODES - CORRECT ANSWER: The
first section of the CPT manual is the
_____________________________________________.
ALLOWED AMOUNT - CORRECT ANSWER:
____________________________ means the amount of reimbursement an
insurance payer and patient agrees to pay a provider.
PLACE OF SERVICE - CORRECT ANSWER: A billing and coding specialist
should determine first, the _____________________ to determine an appropriate
e/m code.
LOWER RIGHT QUADRANT - CORRECT ANSWER: The appendix is located
in the _____________________________________ of the abdomen.
POLICY NUMBER - CORRECT ANSWER: For a patient whose insurance
coverage is from her partner, the ____________________________________ is
required to bill her claim.
V CODE - CORRECT ANSWER: An exposure to tuberculosis requires a
______________________________________.
GUARANTOR INFORMATION - CORRECT ANSWER: A billing and coding
specialist should use _______________________________________________
when transmitting a claim for a minor without health insurance.
OFFICE OF THE INSPECTOR GENERAL - CORRECT ANSWER: The
____________________________________ investigates cases of fraud and
prepares a referral for prosecution.
, CLEAN CLAIM - CORRECT ANSWER: An insurance claim is considered a
______________________________ when further reviewed by the insurance
company, is not necessary before submitting the claim.
PERFORM INTERNAL AUDITS TO MONITOR THE BILLING PROCESS -
CORRECT ANSWER: A billing and coding specialist should
____________________________________________to identify areas of risk
associated with billing compliance.
THE BODY MAINTAINS NORMAL BALANCE AND FUNCTION -
CORRECT ANSWER: When
___________________________________________, then it is said to be in a state
of homeostasis.
ANSI ASC X12 837 - CORRECT ANSWER: The
___________________________________ is an example of an electronic claim
format.
PATIENT'S DEDUCTIBLE - CORRECT ANSWER: The
___________________________________information is included in an electronic
remittance advice.
EXCISION - CORRECT ANSWER: The provider performed an
_____________________ if a lesion needed to be removed with no pathology
report and the billing and coding specialist is coding from the integumentary
system.
SHOULD EMAIL AN ELECTRONIC FILE FORMAT OF THE SUPPORTING
DOCUMENT - CORRECT ANSWER: If a supporting document is to be
submitted to the payer for a particular electronic claim the coding and billing
specialist _________________________.
OFFICE OF THE INSPECTOR GENERAL (OIG) - CORRECT ANSWER: The
________________________________is tasked to conduct investigations and
audits regarding patient privacy violations.
SERVICE FACILITY LOCATION - CORRECT ANSWER: On the CMS 1500
form the provider's name and address should be placed in the block for
_______________________________________by the billing and coding
specialist filling out the form for a satellite office.
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