NHA CBCS PACKAGE DEAL

The symbol "O" in the Current Procedural Terminology reference is used to indicate what? - ️️Reinstated or recycled code In the anesthesia section of the CPT manual, what are considered qualifying circumstances? - ️️Add-on codes As of April 1, 2014 what is the maximum number of diagn...

The 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 inf...

Which of the following Medicare policies determines if a particular item or service is covered by Medicare? - ️️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-par...

Medical Billing & Coding as a Career - ️️*Claims assistant professional or claims manager, *Coding Specialist, * Collection Manager, *Electronic Claims Processor, *Insurance Billing Specialist, * Insurance Coordinator, *Insurance Counselor, *Medical Biller, *Medical & Financial Records Manager, ...

A child is brought into a facility by their mother. The child is covered under both parents' insurance policies. The child's father was born on 10/1/1980 and their mother was born on 10/2/1981. Which of the following statements is true regarding the primary policy holder for the child? - ️️The...

Medical Ethics are - ️️Standards of conduct based on moral principals. Acting within ethical behavior boundries means carrying out one's responsibilities with integrity, decency, respect, honesty, competence, fairness and trust. Compliance Regulations - ️️Most billing related cases are b...

When submitting claims, which of the following is the outcome if Block 13 is left blank? - ️️The third-party payer reimburses the patient, and the patient is responsible for reimbursing the provider Which of the following do physicians use to electronically submit claims? - ️️clearinghous...

Place of Service - ️️Billing and coding specialists should first divide the E & M Code by Privacy Officer - ️️Compliant with HIPPA the following position should be assigned in each office Principal Diagnosis - ️️Coding on the UB-04 Form, must sequence the diagnosis code. Which is t...

Which of the following is used to communicate why a claim line item was denied or paid differently than it was billed? - ️️Claim adjustment reason codes A billing and coding specialist is reviewing a claim edit report and identifies a rejection for missing patient demographic information. Whi...

Medical Ethics - ️️Standards of conduct based on moral principles. Generally accepted as a guide for behavior towards patients, physicians, co-workers, the government, and insurance compaines. Compliance Regulations - ️️billing-related cases are based on HIPAA and False Claims Act. Hea...

Which of the following sections of the medical record is used to determine the correct evaluation and management code used for billing and coding? - ️️history and physical A billing and coding specialist is reviewing a CMS-1500 claim form. The "assignment of benefits" box has been checked ...

Describe the difference between informed and implied consent? - ️️Informed consent is required in writing after explanation of a procedure, with time to ask questions, while implied consent is assumed What is documentation? - ️️Documentation is a complete, accurate, up-to-date record of t...

Medical Ethics - ️️Standards of conduct based on moral principals. Acting within ethical behavior boundries means carrying out one's responsibilities with integrity, decency, respect, honesty, competence, fairness and trust. Compliance Regulations - ️️Most billing related cases are based...

abstracting - ️️Reviewing medical record documentation to discover clinical concepts that support assigning codes to the highest level of specificity. clinical documentation - ️️Information recorded in the medical record pertaining to the health status of a patient as determined by a heal...