Cms 1500 - Study guides, Class notes & Summaries

CRCR Exam Prep What are collection agency fees based on? - correct answer A percentage of dollars collected Self-funded benefit plans may choose to coordinate benefits using the gender rule or what other rule? - correct answer Birthday In what type of payment methodology is a lump sum or bundled payment negotiated between the payer and some or all providers? - correct answer Case rates What customer service improvements might improve the patient accounts department? - correct answer Ho...

b) artificial plants and floral arrangements for aesthetics Correct Answer: When creating a reception area for a pediatric clinic, which of the following items should the MA include? a) accessible coffee and tea b) artificial plants and floral arrangements for aesthetics c) stuffed animals and small building blocks d) scented candles to mask odors a) numeric Correct Answer: Which of the following medical record filing systems protects patient's privacy and allows for unlimited expansi...

TEST BANK for Understanding Health Insurance: A Guide to Billing and Reimbursement, 2023 Edition 18th Edition Michelle Green TABLE OF CONTENTS 1. Health Insurance Specialist Career. 2. Introduction to Health Insurance and Managed Care. 3. Introduction to Revenue Management. 4. Revenue Management: Insurance Claims, Denied Claims and Appeals and Credit and Collections. 5. Legal Aspects of Health Insurance and Reimbursement. 6. ICD-10-CM Coding. 7. CPT Coding. 8. HCPCS Level II Coding. 9...

NHA CCMA EXAM | 2023/ 2024 Newly Updated Exam Review | Best Rated Guide Questions and Verified Answers| 100% Correct Q: Discussing a patients medical information is breaking what? Answer: HIPPA guidelines Q: Even if you are related to the patient you are required to have what to obtain medical information? Answer: Consent of the patient Q: The Joint Commission is responsible for what? Answer: Regulates that identifying patients is crucial to improving patient safe...

Medical Coding and Billing Certification (MCBC) Study Guide I The services medically necessary for diagnostic code linkage - correct answer What must a coder understand in order to determine the correct diagnosis code assignment? Correctly identifying primary and secondary insurance policies in order to preserve coordination of benefits - correct answer Avoiding the duplication of benefits paid by the primary and secondary insurance is achieved by: Use the combination code - correct answe...

NHA Billing and Coding test bank (CBCS)verified 2023The attending physician A nurse is reviewing a patients lab results prior to discharge and discovers an elevated glucose level. Which of the following health care providers should be altered before the nurse can proceed with discharge planning? The patients condition and the providers information On the CMS-1500 Claims for, blocks 14 through 33 contain information about which of the following? Problem focused examination A prov...

The top portion of the claim form where the insurance company address is entered - Upper margin Where the insurance type is marked with an X - Block 1 Qualifier for DOA/Date of present illness block 14 - 431 Qualifier for LMP block 14 - 484 Referring Provider block 17 - DK Ordering provider block 17 - DQ Supervising provider block 17 - DK They are arranged in 8 digit formats MM/DD/YYYY only even though the field on the form says YY - How dates are arranged for DOB They can be 6 or 8 di...

CRCR EXAM WITH CORRECT CHOICES, CERTIFIED AND VERRIFIED What are collection agency fees based on? - CORRECT ANSWER-A percentage of dollars collected Self-funded benefit plans may choose to coordinate benefits using the gender rule or what other rule? - CORRECT ANSWER-Birthday In what type of payment methodology is a lump sum or bundled payment negotiated between the payer and some or all providers? - CORRECT ANSWER-Case rates What customer service improvements might improve the patie...

Which of the following Medicare policies determines if a particular item or service is covered by Medicare? - CORRECT ANSWER National Coverage Determination (NCD) A patient's employer has not submitted a premium payment. Which of the following claim statuses should the provider receive from the third-party payer? - CORRECT ANSWER Denied A billing and coding specialist should routinely analyze which of the following to determine the number of outstanding claims? - CORRECT ANSWER Agin...