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 the first listed d...
NHA Medical Coding and billing exam
complete solution 2022
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 the first listed diagnosis?
Urethratresia - Obstruction of the urethra is
UB04 Forms - Ambulatory surgery centers, home health center, and hospice use what
form?
Encounter forms - Form that contains of DOS, CPT, ICD codes, fees and copay
information is called
Add on Codes - Anesthesia section of CPT manual which are considered qualifying
circumstances
Title 11 - Patient presents with chest pain & shortness of breath with abnormal ECG
provider call a cardiologist. What portion of the HIPPA allows this
Code set standards pertain to all providers - HIPPA compliance guideline affecting EHR
Red - Color formats on CMS 1500 form acceptable
Patient Ledger account - Financial record generated by a provider office
Coding Compliance Plan - Which of the following includes procedures and best
practices for correct coding
Sagittal - Which of the following planes divides the body into left and right
Claim adjudication:( The term used in the industry to refer to the process of paying
claims submitted on denying them after comparing claims to the benefit or coverage
requirements) - 3rd Party payer validates a claim which takes place next
NCCI ( National Correct Coding Initiative) - Developed to reduced Medicare Program
expenditure by detecting in appropriate codes & eliminating improper coding
, 0% - Beneficiary of Medicaid/ Medicare crossover claim is responsible for the
percentage
Internal monitoring and auditing - Which of the following steps would be part of a
physicians practice compliance program
HIPPA - Which of the following acts applies to the administrative simplification
guidelines?
Accounts recievable - Patient charges that have not been paid will appear in which of
the following
adjudication - Which of the following is considered the final determination of the issues
involving settlement of an insurance claim
A billing worksheet from the patient account - A prospective billing account audit
prevents fraud by reviewing & comparing a completed claim for with which of the
following documents
Lymphatic system - Which of the following parts of the body system regulates immunity
Billing using 2- digit CPT Modifiers to indicate a procedure as preformed differs from its
usual 5 digit code - Which of the following is allowed when billing procedural codes
Direct Data entry - A biller will electronically submit a claim to the carrier via which of the
following?
A Providers office with fewer than 10 fulltime employees - Medicare enforces mandatory
submission of electronic claims for most providers. Which of the providers is allowed to
submit paper claims to Medicare?
(RAC) Recovery audit Contractor - Which of the following organizations identifies
improper payments made on CMS claims
Bone and bone marrow - IF a patient has osteomyelitis he has problems with which of
the following areas?
Preauthorization form - Which of the following is a requirement of some third-party
payers before a procedure is performed?
Precertification - Ensure appropriate insurance coverage for an outpatient procedure by
first using the following process
History - Key component if an evaluation and management service
837 - Format used to submit electronic claims and 3rd Party payer
Voordelen van het kopen van samenvattingen bij Stuvia op een rij:
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
Je betaalt supersnel en eenmalig met iDeal, creditcard of Stuvia-tegoed voor de samenvatting. Zonder lidmaatschap.
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 SMARTSCORE. Stuvia faciliteert de betaling aan de verkoper.
Zit ik meteen vast aan een abonnement?
Nee, je koopt alleen deze samenvatting voor €11,19. Je zit daarna nergens aan vast.
