Exam (elaborations)
NHA - CERTIFIED BILLING AND CODING SPECIALIST (CBCS) STUDY GUIDE QUESTIONS WITH ACTUAL SOLUTIONS.
- Course
- Institution
NHA - CERTIFIED BILLING AND CODING SPECIALIST (CBCS) STUDY GUIDE QUESTIONS WITH ACTUAL SOLUTIONS.
[Show more]
Content preview
NHA - CERTIFIED BILLING AND CODINGSPECIALIST (CBCS) STUDY GUIDE
QUESTIONS WITH ACTUAL SOLUTIONS
The llsymbol ll"O" llin llthe llCurrent llProcedural llTerminology llreference llis llused llto
llindicate llwhat? ll- llAnswer llReinstated llor llrecycled llcode
In llthe llanesthesia llsection llof llthe llCPT llmanual, llwhat llare llconsidered llqualifying
llcircumstances? ll- llAnswer llAdd-on llcodes
As llof llApril ll1, ll2014 llwhat llis llthe llmaximum llnumber llof lldiagnoses llthat llcan llbe
llreported llon llthe llCMS-1500 llclaim llform llbefore lla llfurther llclaim llis llrequired? ll-
llAnswer ll12
What llis llconsidered llproper llsupportive lldocumentation llfor llreporting llCPT lland llICD
llcodes llfor llsurgical llprocedures? ll- llAnswer llOperative llreport
What llaction llshould llbe lltaken llfirst llwhen llreviewing lla lldelinquent llclaim? ll- llAnswer
llVerify llthe llage llof llthe llaccount
A llclaim llcan llbe lldenied llor llrejected llfor llwhich llof llthe llfollowing llreasons? ll- llAnswer
llBlock ll24D llcontains llthe lldiagnosis llcode
A llcoroner's llautopsy llis llcomprised llof llwhat llexaminations? ll- llAnswer llGross
llExamination
Medigap llcoverage llis lloffered llto llMedicare llbeneficiaries llby llwhom? ll- llAnswer llPrivate
llthird-party llpayers
What llpart llof llMedicare llcovers llprescriptions? ll- llAnswer llPart llC
What llplane lldivides llthe llbody llinto llleft lland llright? ll- llAnswer llSagittal
Where llcan llunlisted llcodes llbe llfound llin llthe llCPT llmanual? ll- llAnswer llGuidelines llprior
llto lleach llsection
, Ambulatory llsurgery llcenters, llhome llhealth llcare, lland llhospice llorganizations lluse
llwhich llform llto llsubmit llclaims? ll- llAnswer llUB-04 llClaim llForm
What llcolor llformat llis llacceptable llon llthe llCMS-1500 llclaim llform? ll- llAnswer llRed
Who llis llresponsible llto llpay llthe lldeductible? ll- llAnswer llPatient
A llpatient's llhealth llplan llis llreferred llto llas llthe ll"payer llof lllast llresort." llWhat llis llthe
llname llof llthat llhealth llplan? ll- llAnswer llMedicaid
Informed llConsent ll- llAnswer llProviders llexplain llmedical llor lldiagnostic llprocedures,
llsurgical llinterventions, lland llthe llbenefits lland llrisks llinvolved, llgiving llpatients llan
llopportunity llto llask llquestions llbefore llmedical llintervention llis llprovided.
Implied llConsent ll- llAnswer llA llpatient llpresents llfor lltreatment, llsuch llas llextending llan
llarm llto llallow lla llvenipuncture llto llbe llperformed.
Clearinghouse ll- llAnswer llAgency llthat llconverts llclaims llinto llstandardized llelectronic
llformat, lllooks llfor llerrors, lland llformats llthem llaccording llto llHIPAA lland llinsurance
llstandards.
Individually llIdentifiable ll- llAnswer llDocuments llthat llidentify llthe llperson llor llprovide
llenough llinformation llso llthat llthe llperson llcan llbe llidentified.
De-identified llInformation ll- llAnswer llInformation llthat lldoes llnot llidentify llan llindividual
llbecause llunique lland llpersonal llcharacteristics llhave llbeen llremoved.
Consent ll- llAnswer llA llpatient's llpermission llevidenced llby llsignature.
Authorizations ll- llAnswer llPermission llgranted llby llthe llpatient llor llthe llpatient's
llrepresentative llto llrelease llinformation llfor llreasons llother llthan lltreatment, llpayment, llor
llhealth llcare lloperations.
Reimbursement ll- llAnswer llPayment llfor llservices llrendered llfrom lla llthird-party llpayer.
Auditing ll- llAnswer llReview llof llclaims llfor llaccuracy lland llcompleteness.
Fraud ll- llAnswer llMaking llfalse llstatements llof llrepresentations llof llmaterial llfacts llto
llobtain llsome llbenefit llor llpayment llfor llwhich llno llentitlement llwould llotherwise llexist.
Upcoding ll- llAnswer llAssigning lla lldiagnosis llor llprocedure llcode llat lla llhigher lllevel
llthan llthe lldocumentation llsupports, llsuch llas llcoding llbronchitis llas llpneumonia.
Unbundling ll- llAnswer llUsing llmultiple llcodes llthat lldescribe lldifferent llcomponents llof lla
lltreatment llinstead llof llusing lla llsingle llcode llthat lldescribes llall llsteps llof llthe llprocedure.
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 LucieLucky. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $13.49. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
67163 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy study notes for 14 years now