Adjudication - Samenvattingen en Aantekeningen

NHA Practice Test 1 Questions and Answers Already Passed Which of the following should the billing and coding specialist include in an authorization to release information? The entity to whom the information is to be released. Which of the following actions should the billing and coding specialist take if they observes a colleague in an unethical situation? Report the incident to a supervisor, whom will then report to the company compliance officer if need be. When posting payment accurately,...

What indicates a claim should be submitted on paper instead of electronically - The claim requires an attachment What steps wold be part of a physicians practice compliance program - Internal monitoring and auditing What is the third stage of the life cycle of a claim - Claims Adjudication What is the advantage of electronic claim submission - Claims are expedited In an outpatient setting what forms are used as a financial report of all services provided to patients - Patient account...

Notes from all 7 lectures of the course international dispute settlement

Drug Utilization Review (DUR) - ANSWER>>(pharmacist's job) reviewing the patient's profile with medication to ensure safety How many hours of CE are technicians required to complete? How often? - ANSWER>>20 hours every 2 years Adjudication - ANSWER>>submitting 3rd party insurance claim for paymen

The symbol "O" in the Current Procedural Terminology reference is used to indicate what? - ANSWER Reinstated or recycled code In the anesthesia section of the CPT manual, what are considered qualifying circumstances? - ANSWER Add-on codes As of April 1, 2014 what is the maximum number of diagnoses that can be reported on the CMS-1500 claim form before a further claim is required? - ANSWER 12 What is considered proper supportive documentation for reporting CPT and ICD codes for surgica...

The symbol "O" in the Current Procedural Terminology reference is used to indicate what? - ANSWER Reinstated or recycled code In the anesthesia section of the CPT manual, what are considered qualifying circumstances? - ANSWER Add-on codes As of April 1, 2014 what is the maximum number of diagnoses that can be reported on the CMS-1500 claim form before a further claim is required? - ANSWER 12 What is considered proper supportive documentation for reporting CPT and ICD codes for surgica...