HCM 425 QUIZZES 2- 5, MIDTERM AND FINAL EXAMS PACKAGE

HCM 425 Quiz 3 - Questions and Answers When an unlisted procedure or service code is reported, a __________ must accompany the claim to describe the nature, extent, and need for the procedure or service along with the time, effort, and equipment necessary to provide the service. special report Whi...

HCM 425 Quiz 4 - Questions and Answers The procedure or service provided is linked with the _________ that provided medical necessity for performing the procedure or service. Diagnosis Which is a form required by Medicare for all outpatient and physician office procedures/services that are not cove...

HCM 425 Quiz 5 - Questions and Answers The life cycle of an insurance claim is initiated when the health insurance specialist completes the CMS-1500 claim. Which form is considered the financial source document? superbill or encounter form Another name for the patient account record is the patient ...

HCM 425 Midterm Exam - Questions and Answers CPT modifiers __________ the meaning of services and procedures performed by providers. clarify and alter HCPCS level II was introduced in 1983 after Medicare found that its payers used more than 100 different coding systems, making it ______ difficult ...

HCM 425 Final Exam - Questions and Answers Programs of All-inclusive Care for the Elderly (PACE) work to limit out-of-pocket costs to beneficiaries by not applying deductibles, copayments, or other cost-sharing. Which is subject to Medicaid preauthorization guidelines? any extension of inpatient a...