For non crossover claims - Study guides, Class notes & Summaries

CompTIA Network+ Study Guide: Exam N10-009 (Sybex Study Guide) 6th Edition 2024 with complete solution Table of Contents 1. Cover 2. Table of Contents 3. Title Page 4. Copyright 5. Acknowledgments 6. About the Authors 7. About the Technical Editor 8. Table of Exercises 9. Introduction 1. What Is the Network+ Certification? 2. Why Become Network+ Certified? 3. How to Become Network+ Certified 4. Tips for Taking the Network+ Exam 5. Who Should Read This Book? 6. What Does This Bo...

ETS MFT BUSINESS EXAM The principal difference between variable costing and absorption costing centers on: a) whether variable manufacturing costs should be included as product costs b) whether fixed manufacturing costs should be included as product costs c) whether fixed manufacturing costs and fixed selling and administrative costs should be included as product costs d) none of these. General Bikes is debating which marketing research options to employ. The traditional p...

Sole proprietors are permitted tax deductions for health costs paid from their earnings in the amount of A. costs that exceed 7 1/2 % of AGI B. costs that exceed 10% of AGI C. 100% of costs D. no deduction permitted - ANSWERS100% of costs The purpose of the Coordination of Benefits provision in group accident and health plans is to A. avoid overpayment of claims B. reduce out-of-pocket costs C. reduce adverse selection D. lower the cost of premiums - ANSWERSavoid overpayment of claims...

When is the principle diagnosis applicable? - Inpatient Hospital coding The term "encounter records" means: - claim What is the name of the act designed to address the collection practices of third- party debt collectors and attorneys who regularly collect debts for others? - Fair debt collection practices act (FDCPA) Medigap insurance may cover - the deductible not covered under Medicare Which of the following coding manuals is used primarily to identify products, supplies, and servic...

Revenue Cycle Management Final 100% Correct Review Test 2023 Update enter an X in both the Medicare and Medicaid boxes of Block 1 - ANS-When completing a CMS-1500 claim for Medicare-Medicaid (Medi-Medi) crossover claims: a. enter an X in both the Medicare and Medicaid boxes of Block 1 b. enter MCD followed by the patient's Medicaid ID number in Block 10b c. enter MEDIGAP in Block 9a d. complete two claims, one each for Medicare and Medicaid E/M services - ANS-Major revisions to CPT...

Which of the following electronic forms is used to post payments? - Electronic remittance advice (ERA) If a clean claim is received March 1 of this year, which of the following is the allowable last day of payment in order to meet Medicare compliance requirements? - March 30 Threading a catheter with balloon into a coronary artery and expanding it to repair arteries describes which of the following procedures? - Angioplasty The authorization number for a service that was approved before t...

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...

Medical Billing and Coding Certification Blocks 14 through 33 - The patient's condition and the provider's information are shown in what blocks in CMS 1500 form? Coding Compliance Plan - Which of the following includes procedures and best practices for correct coding? Use Arial size 10 font - When completing a CMS 1500 form which of the following is an acceptable action for the billing and coding specialist to take The claim requires an attachment - Which of the following indicates a clai...

Sole proprietors are permitted tax deductions for health costs paid from their earnings in the amount of A. costs that exceed 7 1/2 % of AGI B. costs that exceed 10% of AGI C. 100% of costs D. no deduction permitted - ANSWERS100% of costs The purpose of the Coordination of Benefits provision in group accident and health plans is to A. avoid overpayment of claims B. reduce out-of-pocket costs C. reduce adverse selection D. lower the cost of premiums - ANSWERSavoid overpayment of claims...

Sole proprietors are permitted tax deductions for health costs paid from their earnings in the amount of A. costs that exceed 7 1/2 % of AGI B. costs that exceed 10% of AGI C. 100% of costs D. no deduction permitted - ANSWER-100% of costs The purpose of the Coordination of Benefits provision in group accident and health plans is to A. avoid overpayment of claims B. reduce out-of-pocket costs C. reduce adverse selection D. lower the cost of premiums - ANSWER-avoid overpayment of claims...