NHA Practice Questions Billing and Coding 2022 updated solution
4 views 0 purchase
Course
NHA
Institution
NHA
What indicates a claim should be submitted on paper instead of electronically - The claim requires an attachment
What steps wold be part of a physicians practice compliance program - Internal monitoring and auditing
What is the third stage of the life cycle of a claim - Claims Adjudication
...
nha practice questions billing and coding 2022 updated solution
Written for
NHA
All documents for this subject (1573)
Seller
Follow
SMARTSCORE
Reviews received
Content preview
NHA Practice Questions Billing and
Coding 2022 updated solution
What indicates a claim should be submitted on paper instead of electronically - The
claim requires an attachment
What steps wold be part of a physicians practice compliance program - Internal
monitoring and auditing
What is the third stage of the life cycle of a claim - Claims Adjudication
What is the advantage of electronic claim submission - Claims are expedited
In an outpatient setting what forms are used as a financial report of all services provided
to patients - Patient account record
What document is required to disclose an adult patient information - A signed release
from the patient
What is a type of claim that will be denied by the third party payer - Incomplete claim
What is a billing practice action - Documenting the patients chief complaint, history,
exam assessment and plan
A billing and coding specialist needs to know how much Medicare paid on a claim
before billing secondary should refer to - Remittance advice
What is the medical term for the sac that encloses the heart - pericardium
What is a constitutes of consultation - Services rendered by a physician whose opinion
is required by another
What is the purpose of running an aging report each month - To indicate which claims
are outstanding
CMS-1500 which box do you mark for workers Comp - 10a
What is a verbal or written agreement that gives approval to release protected health
information (PHI) - Consent
What part of Medicare covers prescriptions - Part D
The star symbol on CPT code books is used to indicate - Telemedicine
, Two providers of the same practice visit a patient in the ED using the same CPT codes,
the claim maybe denied due to - Duplication services
CMS 1500 what block is used to bill ICD codes - Block 21
A participating BCBS provider receives an explanation of benefits, the change was $100
BCBS allowed $80 applied $40 to deductible BCBS paid 80% how much should the
patient pay - $48
What is an example of an electronic claim submission - Claims submitted via a secure
network
When a patient has a condition that is both acute and chronic how should it be reported
- Code both sequencing acute first
What is the function of the respiratory system - Oxygenating blood cells
A provider receives a reimbursement from a 3rd party accompanied by which of the
following - Explanation of benefits
What is the portion of the account that the patient must pay after services rendered and
deductible is meet - Co-Insurance
What is the term for an amount that is uncontrollable - Bad debit
What was developed to reduce Medicare program expenditures by detecting
inappropriate codes - NCCI
When posting a payment accrual which should hte billing and coding specialist include -
Patients responsibility
What organization identifies improper payments made by CMS claims - Recovery Audit
Contractor (RAC)
Z codes are used to identify - Immunizations
Add modifier -50 codes when reporting - Bilateral procedure
Who is allowed to submit a paper claim to Medicare - A providers office with fewer than
10 full time employees
What described the status of a claim that does not include required pre auth - Denied
Crossover claim submitted by a participating provider is responsible for what percent -
0%
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 SMARTSCORE. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $11.49. You're not tied to anything after your purchase.
