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NHA CBCS Exam Review With Correct Questions And Answers 2024
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NHA CBCS Exam Review With Correct Questions And Answers 2024
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NHA CBCS Exam Review With CorrectQuestions And Answers 2024
Which eof ethe efollowing eMedicare epolicies edetermines eif ea eparticular eitem eor eservice eis
ecovered eby eMedicare? e- ecorrect eanswer.National eCoverage eDetermination e(NCD)
A epatient's eemployer ehas enot esubmitted ea epremium epayment. eWhich eof ethe efollowing
eclaim estatuses eshould ethe eprovider ereceive efrom ethe ethird-party epayer? e- ecorrect
eanswer.Denied
A ebilling eand ecoding especialist eshould eroutinely eanalyze ewhich eof ethe efollowing eto
edetermine ethe enumber eof eoutstanding eclaims? e- ecorrect eanswer.Aging ereport
Which eof ethe efollowing eshould ea ebilling eand ecoding especialist euse eto esubmit ea eclaim ewith
esupporting edocuments? e- ecorrect eanswer.Claims eattachment
Which eof ethe efollowing eterms eis eused eto ecommunicate ewhy ea eclaim eline eitem ewas
edenied eor epaid edifferently ethan eit ewas ebilling? e- ecorrect eanswer.Claim eadjustment ecodes
On ea eCMS-1500 eclaim eform, ewhich eof ethe efollowing einformation eshould ethe ebilling eand
ecoding especialist eenter einto eBlock e32? e- ecorrect eanswer.Service efacility elocation
einformation
A eprovider's eoffice ereceives ea esubpoena erequesting emedical edocumentation efrom ea
epatient's emedical erecord. eAfter econfirming ethe ecorrect eauthorization, ewhich eof ethe
efollowing eactions eshould ethe ebilling eand ecoding especialist etake? e- ecorrect eanswer.Send
ethe emedical einformation epertaining eto ethe edates eof eservice erequested
Which eof ethe efollowing eis ethe edeadline efor eMedicare eclaim esubmission? e- ecorrect
eanswer.12 emonths efrom ethe edate eof eservice
Which eof ethe efollowing eforms edoes ea ethird-party epayer erequire efor ephysician eservices? e-
ecorrect eanswer.CMS-1500
A epatient ewho eis ean eactive emember eof ethe emilitary erecently ereturned efrom eoverseas eand
eis ein eneed eof especialty ecare. eThe epatient edoes enot ehave eanyone edesigned ewith epower
eof eattorney. eWhich eof ethe efollowing eis econsidered ea eHIPAA eviolation? e- ecorrect
eanswer.The ebilling eand ecoding especialist esends ethe epatient's erecords eto ethe epatient's
epartner.
,Which eof ethe efollowing eterms erefers eto ethe edifference ebetween ethe ebilling eand eallowed
eamounts? e- ecorrect eanswer.Adjustment
Which eof ethe efollowing eHMO emanaged ecare eservices erequires ea ereferral? e- ecorrect
eanswer.Durable emedical eequipment
Which eof ethe efollowing eexplains ewhy eMedicare ewill edeny ea eparticular eservice eor
eprocedure? e- ecorrect eanswer.Advance eBeneficiary eNotice e(ABN)
Which eof ethe efollowing etypes eof eclaims eis e120 edays eold? e- ecorrect eanswer.Delinquent
When ereviewing ean eestablished epatient's einsurance ecard, ethe ebilling eand ecoding
especialist enotices ea eminor echange efrom ethe eexisting ecard eon efile. eWhich eof ethe
efollowing eactions eshould ethe ebilling eand ecoding especialist etake? e- ecorrect
eanswer.Photocopy eboth esides eof ethe enew ecard
A ehusband eand ewife eeach ehave egroup einsurance ethrough etheir eemployers. eThe ewife
ehas ean eappointment ewith eher eprovider. eWhich einsurance eshould ebe eused eas eprimary efor
ethe eappointment? e- ecorrect eanswer.The ewife's einsurance
Which eof ethe efollowing ewould emost elikely eresult ein ea edenial eon ea eMedicare eclaim? e-
ecorrect eanswer.An eexperimental echemotherapy emedication efor ea epatient ewho ehas
estage eIII erenal ecancer
Which eof ethe efollowing epieces eof eguarantor einformation eis erequired ewhen eestablishing ea
epatient's efinancial erecord? e- ecorrect eanswer.Phone enumber
A eprovider esurgically epunctures ethrough ethe espace ebetween ethe epatient's eribs eusing ean
easpirating eneedle eto ewithdraw efluid efrom ethe echest ecavity. eWhich eof ethe efollowing eis ethe
ename eof ethis eprocedure? e- ecorrect eanswer.Pleurocentesis
A epatient ehas eAARP eas esecondary einsurance. eIn ewhich eof ethe efollowing eblocks eon ethe
eCMS-1500 eclaim eform eshould ethe einformation ebe eentered? e- ecorrect eanswer.Block e9
A eMedicare enon-participating e(non-PAR) eprovider's eapproved epayment eamount eis e$200
efor ea elobectomy eand ethe edeductible ehas ebeen emet. eWhich eof ethe efollowing eamounts eis
ethe elimiting echarge efor ethis eprocedure? e- ecorrect eanswer.$230
**A enon-PAR ewho edoes enot eaccept eassignment, ecan ecollect ea emaximum eof e15% e(the
elimiting echarge) eover ethe enon-PAR eMedicare efee eschedule eamount.
In ethe eanesthesia esection eof ethe eCPT emanual, ewhich eof ethe efollowing eare econsidered
equalifying ecircumstances? e- ecorrect eanswer.Add-on ecodes
Threading ea ecatheter ewith ea eballoon einto ea ecoronary eartery eand eexpanding eit eto erepair
earteries edescribes ewhich eof ethe efollowing eprocedures? e- ecorrect eanswer.Angioplasty
, Which eof ethe efollowing eactions eby ea ebilling eand ecoding especialist ewould ebe econsidered
efraud? e- ecorrect eanswer.Billing efor eservices enot eprovided
Which eof ethe efollowing estatements eis eaccurate eregarding ethe ediagnostic ecodes ein eBlock
e21? e- ecorrect eanswer.These ecodes emust ecorrespond eto ethe ediagnosis epointer ein eBlock
e24E
Which eof ethe efollowing eparts eof ethe eMedicare einsurance eprogram eis emanaged eby
eprivate, ethird-party einsurance eproviders ethat ehave ebeen eapproved eby eMedicare? e-
ecorrect eanswer.Medicare ePart eC
A ebilling eand ecoding especialist ecan eensure eappropriate einsurance ecoverage efor ean
eoutpatient eprocedure eby efirst eusing ewhich eof ethe efollowing eprocesses? e- ecorrect
eanswer.Precertification
**Precertification eis ethe efirst estep. ePreauthorization eis ea edecision efrom ethe epayer eto
eapprove ethe eservice. eIt eis enot ethe efirst estep eto edetermine einsurance ereimbursement.
Which eof ethe efollowing eis econsidered efraud? e- ecorrect eanswer.The ebilling eand ecoding
especialist eunbundles ea ecode eto ereceive ehigher ereimbursement
The eauthorization enumber efor ea eservice ethat ewas eapproved ebefore ethe eservice ewas
erendered eis eindicated ein ewhich eof ethe efollowing eblocks eon ethe eCMS-1500 eclaim eform? e-
ecorrect eanswer.Block e23
A epatient eis epreauthorized eto ereceive evitamin eB12 einjections efrom eJan e1 eto eMay e31. eOn
eJune e2, ethe eprovider eorders ean eadditional e6 emonths eof einjections. eIn eorder efor ethe
epatient eto econtinue ewith ecoverage eof ecare, ewhich eof ethe efollowing eshould eoccur? e-
ecorrect eanswer.The eprovider eshould econtact ethe epatient's einsurance ecarrier eto eobtain ea
enew eauthorization
Which eof ethe efollowing esymbols eindicates ea erevised ecode? e- ecorrect eanswer.Triangle
If eboth eparents ehave efull ecoverage efor ea edependent echild, ewhich eof ethe efollowing eis
econsidered eto ebe ethe eprimary einsurance eholder? e- ecorrect eanswer.The eparent ewhose
ebirthdate ecomes efirst ein ethe ecalendar eyear eis ethe eprimary einsurance eholder
Which eof ethe efollowing eentities edefines ethe eessential eelements eof ea ecomprehensive
ecompliance eprogram? e- ecorrect eanswer.Office eof eInspector eGeneral e(OIG)
The e>< esymbol eis eused eto eindicate enew eand erevised etext eother ethan ewhich eof ethe
efollowing? e- ecorrect eanswer.Procedure edescriptors
Which eof ethe efollowing edescribes ethe eorganization eof ean eaging ereport? e- ecorrect
eanswer.By edate
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