Cms 1500 - Study guides, Class notes & Summaries

Multiple Choice Identify the choice that best completes the statement or answers the question. 1. Which of the following should a medical assistant instruct a patient to do before a scheduled pulmonary function test? a. Consume dairy products in limited amounts c. Undergo a nebulizer treatment 3 hr before the test begins. b. Refrain from using bronchodilators. d. Perform a cardiac stress test prior to arrival. 2. Which of the following should a medical assistant use whe...

CMA NHA Practice Exams 1, 2 & 3 Questions and Answers 100% Pass You are drawing on a patient who becomes dizzy, sweaty, and flushed. What are they experiencing? syncope What is the best position to place a patient in if they are experiencing critically low blood pressure? trendlenburg When should a medical assistant verify a new patient's insurance information? When the appointment is scheduled How would a medical assistant handle an irate or angry patient about a bill they had received? Li...

NHA,CBCS (2024/ 2025) Exam | Questions and Verified Answers| 100% Correct| Grade A Q: Which of the following actions by a billing and coding specialist would be considered fraud? Answer: Billing for services not provided Q: The >< symbol is used to indicate a new and revised test other than which of the following? Answer: Procedure descriptors Q: On the CMS-1500 claim form, blocks 14 through 33 contain information about which of the following? Answer: The...

Medical Billing and Coding Practice Test with Complete Solutions Which of the following Medicare policies determines if a particular item or service is covered by Medicare? National Coverage Determination (NCD) 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 Encounter Form A patient comes to the hospital for ...

Block 1 - enter an x in the Other box if the patient is covered by an individual or family health plan. Or, enter an X in the Group Health Plan box if the patient is covered by a group health plan NOTE: the patient is covered by a group health plan if a group number is printed on the patient's insurance identification card (or a group number is included on case studies) Block 1a - enter the health insurance identification number as it appears on the patient's insurance card. Do not enter ...

Which of the following must a patient sign prior to an insurance claim being processed? a. the HIPAA waiver form b. a referral form c. an Authorization to Release Information d. the actual insurance claim form (Ans- c. an Authorization to Release Information Which of the following patient information is needed to determine a Medicaid sliding fee scale. Select the three (3) correct answers. a. amount of the bill b. occupation c. number of dependents d. poverty level e. salary (Ans...

NHA CBCS Exam Pep (Latest 2024/ 2025) | Questions and Verified Answers| 100% Correct| Grade A Q: A physician ordered a comprehensive metabolic panel for a 70-year-old patient who has Medicare as her primary insurance. Which form is required so the patient knows she may be responsible for payment? Answer: Advanced Beneficiary Notice is a form that is required for Medicare recipients Q: Which of the following should the BCS complete to be reimbursed for the provider's services? ...

(The correct answer has been verified, selected and highlighted in yellow for all of the questions below.) 1 What form is used to submit a provider’s charge to the insurance carrier? a. ABN b. UB-04 c. CMS-1500 d. Provider reimbursement form 2 AAPC credentialed coders have proven mastery of what information? a. Code sets b. Evaluation and management principles c. Documentation guidelines d. All of the above 3 When coding an operative report, what action would NOT be recommended? a....

Complete Solutions Manual for Understanding Health Insurance, A Guide to Billing and Reimbursement, 2024 Edition, 19th Edition by Michelle A. Green ; ISBN13: 9780357932063.....(Full Chapters included and organized in reverse order from Chapter 17 to 1)...1. Health Insurance Specialist Career. 2. Introduction to Health Insurance and Managed Care. 3. Introduction to Revenue Management. 4. Revenue Management: Insurance Claims, Denied Claims and Appeals, and Credit and Collections. 5. Legal Aspe...

NHA,CBCS Study Guide (2024/ 2025 Update) | Questions and Verified Answers| 100% Correct| A Grade Explain the difference between fraud and abuse? Answer: Fraud - intentionally misrepresenting services rendered for the purpose of receiving a higher payment Abuse - refers to practices that are often done unknowingly as a result of poor business practices, directly, or indirectly resulting in unnecessary costs to the program through improper payments QUESTION What is the di...