Cbcs exam - Study guides, Class notes & Summaries

Which of the following is considered the final determination of the issues involving settlement of an insurance claim? Correct Answer: Adjudication A form that contains charges, DOS, CPT codes, ICD codes, fees and copayment information is called which of the following? Correct Answer: Encounter form A patient comes to the hospital for an inpatient procedure. Which of the following hospital staff members is responsible for the initial patient interview, obtaining demographic and insur...

abstracting : the extraction of specific data from a medical record, often for use in an external database, such as a cancer registry abuse : practices that directly or indirectly result in unnecessary costs to the Medicare program account number : number that identifies specific episode of care, date of service, or patient accounts receivable department : Department that keeps track of what third-party payers the provider is waiting to hear from and what patients are due to make a ...

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 an...

Medical Ethics - Correct answer-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 - Correct answer-Most billing related cases are based on HIPAA and the False Claims Act. HIPAA is an acronym for - Correct answer-Health Insurance Portability and Accountability Act of 1996. Category 1 CPT codes - Correct answer-Me...

Which of the following is considered the final determination of the issues involving settlement of an insurance claim? - Adjudication A form that contains charges, DOS, CPT codes, ICD codes, fees and copayment information is called which of the following? - Encounter form A patient comes to the hospital for an inpatient procedure. Which of the following hospital staff members is responsible for the initial patient interview, obtaining demographic and insurance information, and documenting ...

NHA-CBCS EXAM REVIEW questions and answers () (100% verified)

NHA CBCS Exam 2023 with 100% correct answers