Iqaplus

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-...

1. What temperature should a semen sample be transported? correct answer36-38 degrees C 2. Which of the following would result in a grossly hemolyzed specimen? a. Incorrect order of draw b. Incorrect needle gauge c. Applying tourniquet too close to the draw site d. Failure to invert tube correct answerb. Incorrect needle gauge 3. Which of the following is proper procedure after collecting ammonia specimen? a. Protect from light b. Keep specimen warm c. Keep specimen at body temp d. ...

(RAC) Recovery audit Contractor - Which of the following organizations identifies improper payments made on CMS claims (S) Subjective - Soap note to indicate patient level of pain to provider 0% - Beneficiary of Medicaid/ Medicare crossover claim is responsible for the percentage 2 Pieces of Information that need to be collected from patients - Patients name and date of birth 2 reasons a claim may be denied - Invalid subscriber name was given or coding error was made 3rd Party Payer - I...

Where do cardiac electrical impulses originate in the heart? - CORRECT ANSWER Sinoatrial node According to the regulation of controlled substances, which of the following is true of a Schedule 1 drug? - CORRECT ANSWER have no accepted medical use A medical assistant is collecting a health history from an older adult patient who exhibits moderate hearing loss. What following action should the assistant take? - CORRECT ANSWER remain within the patient's view to allow lip-reading A Medica...

NRNP 6531 Knowledge Check 4 1. The most common symptoms of transient ischemic attack (TIA) include: Answer: Weakness in an extremity, abruptly slurred speech, or partial loss of vision, and sudden gait changes. 2. A 26 year old female presents with elbow pain that is described as aching and burning. There is point tenderness along the lateral aspect of the elbow and painful passive flexion and extension. She reports she has been playing tennis almost daily for the past month. The most lik...

The symbol "O" in the Current Procedural Terminology reference is used to indicate what? - answerReinstated or recycled code In the anesthesia section of the CPT manual, what are considered qualifying circumstances? - answerAdd-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? - answer12 What is considered proper supportive documentation for reporting CPT and ICD codes for surgica...

Medical Billing & Coding as a Career - ANSWER *Claims assistant professional or claims manager, *Coding Specialist, * Collection Manager, *Electronic Claims Processor, *Insurance Billing Specialist, * Insurance Coordinator, *Insurance Counselor, *Medical Biller, *Medical & Financial Records Manager, * Billing & Coding Specialist What are Medical Ethics? - ANSWER Standards of conduct based on moral principle. They are generally accepted as a guide for behavior towards pt's, dr's, cowo...

Billing a patient who is covered by Medicare using a higher fee schedule than a patient who is not covered Medicare is an example of which of the following? - ANSWER Fraud In block 13 on the CMS-1500 claim form, the patient signs and authorizes the provider to receive payment directly from the insurance payer. What is this type of authorization called? - ANSWER Assignment of Benefits A provider refers a patient to a medical facility with which he has a financial relationship. Which of the...

Question 1 1 out of 1 points The National Cholesterol Education Program’s Adult Treatment Panel III recommends that the goal for low density lipoproteins in high risk patients be less than: Selected Answer: c. 100 mg/dL Answers: a. 160 mg/dLb. 130 mg/dL c. 100 mg/dL d. 70 mg/dL Question 2 1 out of 1 points A 20 year old male patient complains of “scrotal swelling.” He states his scrotum feels heavy, but denies pain. On examination, the nurse practitioner notes transilluminatio...

For each of the following questions, please circle the letter of the most appropriate response. 1. CPT codes are: a. Divided into I, II and III groupings b.Required on submitted claims c. Published and released January 1st of every yeard. All of the above are correct 2. Which of the following statements best describes the term, “allowed amount”? a. The amount of reimbursement an insurance payer and patient agree to pay a provider b.The amount allowed by the provider for supplies ...