NHA CBCS Exam Review/ Questions & Answers/ Latest 2022; 2023

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Which of the following Medicare policies determines if a particular item or service is covered by Medicare? (ANS- National Coverage Determination (NCD) A patient's employer has not submitted a pr... emium payment. Which of the following claim statuses should the provider receive from the third-party payer? (ANS- Denied A billing and coding specialist should routinely analyze which of the following to determine the number of outstanding claims? (ANS- Aging report Which of the following should a billing and coding specialist use to submit a claim with supporting documents? (ANS- Claims attachment Which of the following terms is used to communicate why a claim line item was denied or paid differently than it was billing? (ANS- Claim adjustment codes On a CMS-1500 claim form, which of the following information should the billing and coding specialist enter into Block 32? (ANS- Service facility location information A provider's office receives a subpoena requesting medical documentation from a patient's medical record. After confirming the correct authorization, which of the following actions should the billing and coding specialist take? (ANS- Send the medical information pertaining to the dates of service requested Which of the following is the deadline for Medicare claim submission? (ANS- 12 months from the date of service [Show More]

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