100% tevredenheidsgarantie Direct beschikbaar na betaling Zowel online als in PDF Je zit nergens aan vast
logo-home
NHA CBCS EXAM REVIEW QUESTIONS AND ANSWERS WITH COMPLETE SOLUTION RATED A. €12,18   In winkelwagen

Tentamen (uitwerkingen)

NHA CBCS EXAM REVIEW QUESTIONS AND ANSWERS WITH COMPLETE SOLUTION RATED A.

1 beoordeling
 85 keer bekeken  1 keer verkocht
  • Instelling
  • NHA

NHA CBCS EXAM REVIEW QUESTIONS AND ANSWERS WITH COMPLETE SOLUTION RATED A.

Voorbeeld 2 van de 15  pagina's

  • 1 augustus 2022
  • 15
  • 2022/2023
  • Tentamen (uitwerkingen)
  • Vragen en antwoorden
Alle documenten voor dit vak (1518)

1  beoordeling

review-writer-avatar

Door: marcusvarnado • 2 jaar geleden

avatar-seller
Succeed
NHA CBCS EXAM REVIEW
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-party payer? - Denied

A billing and coding specialist should routinely analyze which of the following to determine
the number of outstanding claims? - Aging report

Which of the following should a billing and coding specialist use to submit a claim with
supporting documents? - Claims attachment

Which of the following terms is used to communicate why a claim line item was denied or
paid differently than it was billing? - Claim adjustment codes

On a CMS-1500 claim form, which of the following information should the billing and
coding specialist enter into Block 32? - Service facility location information

A provider's office receives a subpoena requesting medical documentation from a patient's
medical record. After confirming the correct authorization, which of the following actions
should the billing and coding specialist take? - Send the medical information pertaining to
the dates of service requested

Which of the following is the deadline for Medicare claim submission? - 12 months from the
date of service

Which of the following forms does a third-party payer require for physician services? -
CMS-1500

A patient who is an active member of the military recently returned from overseas and is in
need of specialty care. The patient does not have anyone designed with power of attorney.
Which of the following is considered a HIPAA violation? - The billing and coding specialist
sends the patient's records to the patient's partner.

Which of the following terms refers to the difference between the billing and allowed
amounts? - Adjustment

Which of the following HMO managed care services requires a referral? - Durable medical
equipment

Which of the following explains why Medicare will deny a particular service or procedure?
- Advance Beneficiary Notice (ABN)

, Which of the following types of claims is 120 days old? - Delinquent

When reviewing an established patient's insurance card, the billing and coding specialist
notices a minor change from the existing card on file. Which of the following actions should
the billing and coding specialist take? - Photocopy both sides of the new card

A husband and wife each have group insurance through their employers. The wife has an
appointment with her provider. Which insurance should be used as primary for the
appointment? - The wife's insurance

Which of the following would most likely result in a denial on a Medicare claim? - An
experimental chemotherapy medication for a patient who has stage III renal cancer

Which of the following pieces of guarantor information is required when establishing a
patient's financial record? - Phone number

A provider surgically punctures through the space between the patient's ribs using an
aspirating needle to withdraw fluid from the chest cavity. Which of the following is the
name of this procedure? - Pleurocentesis

A patient has AARP as secondary insurance. In which of the following blocks on the CMS-
1500 claim form should the information be entered? - Block 9

A Medicare non-participating (non-PAR) provider's approved payment amount is $200 for
a lobectomy and the deductible has been met. Which of the following amounts is the
limiting charge for this procedure? - $230
**A non-PAR who does not accept assignment, can collect a maximum of 15% (the limiting
charge) over the non-PAR Medicare fee schedule amount.

In the anesthesia section of the CPT manual, which of the following are considered
qualifying circumstances? - Add-on codes

Threading a catheter with a balloon into a coronary artery and expanding it to repair
arteries describes which of the following procedures? - Angioplasty

Which of the following actions by a billing and coding specialist would be considered fraud?
- Billing for services not provided

Which of the following statements is accurate regarding the diagnostic codes in Block 21? -
These codes must correspond to the diagnosis pointer in Block 24E

Which of the following parts of the Medicare insurance program is managed by private,
third-party insurance providers that have been approved by Medicare? - Medicare Part C

Voordelen van het kopen van samenvattingen bij Stuvia op een rij:

Verzekerd van kwaliteit door reviews

Verzekerd van kwaliteit door reviews

Stuvia-klanten hebben meer dan 700.000 samenvattingen beoordeeld. Zo weet je zeker dat je de beste documenten koopt!

Snel en makkelijk kopen

Snel en makkelijk kopen

Je betaalt supersnel en eenmalig met iDeal, creditcard of Stuvia-tegoed voor de samenvatting. Zonder lidmaatschap.

Focus op de essentie

Focus op de essentie

Samenvattingen worden geschreven voor en door anderen. Daarom zijn de samenvattingen altijd betrouwbaar en actueel. Zo kom je snel tot de kern!

Veelgestelde vragen

Wat krijg ik als ik dit document koop?

Je krijgt een PDF, die direct beschikbaar is na je aankoop. Het gekochte document is altijd, overal en oneindig toegankelijk via je profiel.

Tevredenheidsgarantie: hoe werkt dat?

Onze tevredenheidsgarantie zorgt ervoor dat je altijd een studiedocument vindt dat goed bij je past. Je vult een formulier in en onze klantenservice regelt de rest.

Van wie koop ik deze samenvatting?

Stuvia is een marktplaats, je koop dit document dus niet van ons, maar van verkoper Succeed. Stuvia faciliteert de betaling aan de verkoper.

Zit ik meteen vast aan een abonnement?

Nee, je koopt alleen deze samenvatting voor €12,18. Je zit daarna nergens aan vast.

Is Stuvia te vertrouwen?

4,6 sterren op Google & Trustpilot (+1000 reviews)

Afgelopen 30 dagen zijn er 79373 samenvattingen verkocht

Opgericht in 2010, al 14 jaar dé plek om samenvattingen te kopen

Start met verkopen
€12,18  1x  verkocht
  • (1)
  Kopen