100% satisfaction guarantee Immediately available after payment Both online and in PDF No strings attached
logo-home
CPB Billing Regulations Exam Study Guide Solutions $11.49   Add to cart

Exam (elaborations)

CPB Billing Regulations Exam Study Guide Solutions

 0 view  0 purchase
  • Course
  • CPB
  • Institution
  • CPB

CPB Billing Regulations Exam Study Guide Solutions Medically Unlikely Edits (MUEs) - ANSWER-number of units that can be reported for a service or procedure on the same day Medicare and Medicaid - ANSWER-Medicare pays first, and Medicaid pays last. Medicare and TRICARE - ANSWER-TRICARE is secon...

[Show more]

Preview 2 out of 8  pages

  • October 30, 2024
  • 8
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
  • CPB
  • CPB
avatar-seller
Emillect
©EMILLECT 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED

FIRST PUBLISH OCTOBER 2024




CPB Billing Regulations Exam Study

Guide Solutions


Medically Unlikely Edits (MUEs) - ANSWER✔✔-number of units that can be reported for a service or

procedure on the same day


Medicare and Medicaid - ANSWER✔✔-Medicare pays first, and Medicaid pays last.


Medicare and TRICARE - ANSWER✔✔-TRICARE is secondary


Early and Periodic Screening, Diagnostic, and Treatment (EPSDT) - ANSWER✔✔-Screening Services/

Vision Services/ Dental Services/ Hearing Services/ Other necessary healthcare services/ Diagnostic

services/ Treatment


Prior Authorization - ANSWER✔✔-reported in Item 23;




Patient's name (as it appears on the insurance card)


Patient's date of birth


Insured's ID number

Page 1/8

, ©EMILLECT 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED

FIRST PUBLISH OCTOBER 2024




CPT®/HCPCS Level II code(s)


ICD-10-CM code(s)


Location where service is performed


Ordering physician


Date of service for the procedure if scheduled


incident-to - ANSWER✔✔-submit claim under the supervising physician




"those services that are furnished incident-to physician professional services in the physician's office

(whether located in a separate office suite or within an institution) or in a patient's home"


global package for surgical procedures - ANSWER✔✔-0-90 days as determined by the health plan:


Local infiltration, digital block, or topical anesthesia;


Writing Orders;


treatment in operation room;


postoperative follow-up care


global days - ANSWER✔✔-major surgeries - 90 days,

Page 2/8

The benefits of buying summaries with Stuvia:

Guaranteed quality through customer reviews

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

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

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 Emillect. 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.

Can Stuvia be trusted?

4.6 stars on Google & Trustpilot (+1000 reviews)

84669 documents were sold in the last 30 days

Founded in 2010, the go-to place to buy study notes for 14 years now

Start selling
$11.49
  • (0)
  Add to cart