NHA CCMA Questions with accurate answers. 100% Accurate. 2022/2023 Question Bank.

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NHA CCMA Questions with accurate answers. 100% Accurate. 2022/2023 Question Bank. Where do cardiac electrical impulses originate in the heart? - ✔✔Sinoatrial node According to the regulati... on of controlled substances, which of the following is true of a Schedule 1 drug? - ✔✔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? - ✔✔remain within the patient's view to allow lip-reading A Medical Assistant is preparing a patient who has anemia for an examination by a provider. what manifestation should the assistant expect to find? - ✔✔irregular heartbeat The patient's bill of rights protects individuals from - ✔✔denial of care due to the patient's age A provider has requested a dissecting instrument on a sterile tray that a medical assistant is preparing. what instrument should the assistant include on the tray? - ✔✔scissors what technique should a medical assistant use for the routine cleaning of EKG cables? - ✔✔Disinfection What additive should be used when performing a CBC? - ✔✔EDTA what dressing should a medical assistant use on a partial-thickness burn? - ✔✔non adherent dressing A medical assistant is caring for a patient who has recently received a terminal diagnosis and is crying? what action should the assistant take? - ✔✔allow the patient to cry what position is appropriate for a pelvic examination? - ✔✔lithotomy what document indicates how a patient's medical records will be used and disclosed by a medical office? - ✔✔Notice of Private Practices (NPP) A medical assistant is reinforcing instructions with a patient about how to take a buccal tablet. what instructions should the assistant give the patient? - ✔✔"place the tablet between the gums and cheek." A medical assistant is cleaning an examination room after assisting a provider with a biopsy. what action should the assistant take? - ✔✔hold sharps by the blunt end to avoid needlestick injury a medical assistant is monitoring an infant patient for mircocephaly. what describes the anthropometric measurement that the assistant should perform? - ✔✔head circumference what action should a medical assistant take when obtaining the length of an infant during a well-child visit? - ✔✔position the infant on his back what instructions should a medical assistant give to a patient when administering an enteric-coated tablet? - ✔✔"swallow the tablet whole with a glass of water." A provider examines an older adult patient who is disabled and has a lesion on her arm. And medical assistant should anticipate a referral for this patient to which of the following ancillary services? - ✔✔Home health care A medical assistant in an emergency clinic is admitting several patients. The assistant should recognize that the provider should see which patient first? - ✔✔an older adult patient who has diabetes and has a high blood pressure of 80/42 mm Hg a medical assistant is checking a patient's hearing using the Weber test. what action should the assistant take? - ✔✔ask the patient if he hears the vibration louder in one ear than the other a medical assistant is reviewing laboratory requisitions. For which of the following patient conditions should assistant perform a capillary collection rather than a venipuncture? - ✔✔previous thromboses when performing the palpatory method for obtaining blood pressure, what is the level at which the medical assistant should inflate the cuff? - ✔✔30 mm Hg above the radial pulse cessation a medical assistant should insert the needle at what angle during a venipuncture? - ✔✔15 degree angle a medical assistant is collecting information from a patient who reports persistent pain in the left upper quadrant. the assistant should note that this area contains which of the following organs? - ✔✔stomach what position should a medical assistant place a healthy patient in preparation for a rectal examination? - ✔✔Sims a medical assistant is preparing a patient who has bilateral below-the-knee amputations for an EKG. Which of the following sites should the assistant select for electrode placement? - ✔✔abdomen a medical assistant is performing a fecal occult blood test using a guaiac card. which of the following actions should the assistant take? - ✔✔interpret a blue color as a positive result a medical assistant works at a practice that is part of an Accountable Care Organization (ACO). This designation means that the practice's health care team will focus on improving care for patients who have which of the following types of medical insurance? - ✔✔Medicare To provide culturally competent care, the medical assistant should - ✔✔examine personal religious and cultural values and beliefs to identify any biases a medical assistant is assisting a provider with an abdominal examination. when the provider palpates the major portion of the liver, the assistant should recognize that he is palpating which of the following abdominal quadrants? - ✔✔right upper a medical assistant is scheduling a patient for an outpatient procedure. what action should the assistant take first? - ✔✔obtain an oral or written order from the provider a medical assistant is caring for an infant who suddenly becomes unresponsive for unknown reasons. what action should the assistant take? - ✔✔initiate cardiopulmonary resuscitation a medical assistant is reviewing a patient's medical history prior to the patient's appointment. which of the following laboratory results indicates the need to schedule an extension of the current visit? - ✔✔fasting blood glucose 168mg/dl which of the following terms refers to the range of fees charged by providers who have similar training and experience and practice in the same geographical area? - ✔✔Customary which of the following action should the medical assistant take when obtaining the head circumference of an infant? - ✔✔record the measurement to the nearest 0.6 cm (1/4 in) a medical assistant is preparing a patient for edema. in which position should the assistant place the patient for this procedure? - ✔✔sims' position How many digits are there in CPT codes - ✔✔five digits urticariap - ✔✔a rash on the skin that consists of hives or wheals, which are itchy, raised lesions. it is a sign of an allergic reaction Category 11 Code - ✔✔used to track provider performance measures cold fingers - ✔✔a pulse oximeter can register an artificially low oxygen saturation measurement for a patient who has which of the following conditions? hot skin - ✔✔a medical assistant is collecting data from a patient who is experiencing heatstroke. which of the following manifestations should the assistant expect to find? Apply a thin ribbon of ointment along the conjunctival sac - ✔✔a medical Assistant is administering eye ointment to a patient. what action should the assistant take? antitussive - ✔✔suppresses the cough reflex a medical assistant has requested a pre authorization for a patient referral to a specialist. what reason for the claim submitted by the specialist to be denied? - ✔✔the service is provided after the expiration date Psoriasis - ✔✔a chronic skin disease characterized by pink or red lesions, with scaly patches have a silvery appearance what type of written correspondence can be signed by a medical Assistant - ✔✔a notification letter to a patient about surgery arrangements remittance advice - ✔✔itemized all paid, denied and allowable charges for a patient a MA is completing a progress note using the SOAP format. what patient information should the Assistant include in the assessment section? - ✔✔diagnosis apply layers of sterile gauze - ✔✔when performing a first aid procedure to control bleeding of a wound, which of the following actions should a medical assistant take? Within 1 min of application of the tourniquet - ✔✔A clinical medical assistant is drawing five blood collection tubes. When should the tourniquet be released? hello. welcome to our office - ✔✔a first-time patient is late arriving to the office. which of the following should the medical assistant say first? Wrap the wound from distal to proximal - ✔✔which of the following techniques should a medical assistant use when bandaging a wound? I can crush or chew the pill if it is too hard for me to swallow - ✔✔a medical assistant is providing instruction to a patient on how to take an extended- release medication PO. which of the following statements made by the patient indicates a need for further teaching? circulatory and respiratory - ✔✔a medical assistant is preparing a patient who has intermittent peripheral cyanosis for an examination by the provider. the assistant should understand that healthy perfusion of the hands and feet depends on adequate interaction between which of the following two body system? current procedural terminology code - ✔✔a medical assistant is preparing a CMS-1500 insurance claim form for a patient who was treated for a burn injury. which of the following pieces of information is required on the form? Helminths - ✔✔parasites called "worms" that live in host organisms, such as animals and humans send the specimen to the testing laboratory on the same day as the collection - ✔✔a medical Assistant is collecting a urine specimen from a patient for a drug screening. which of the following actions should the Assistant take to adhere to the chain of custody for this specimen? verify the order with the provider prior to confirming the e-prescription - ✔✔a pharmacist calls the clinic to confirm an e-prescription request to fill a patient's medication order. which of the following actions should the assistant take? make sure the midpoint of the patient's arm is at the level of the patient's heart - ✔✔a ma is measuring a patient's blood pressure with an android sphygmomanometer and a stethoscope. which of the following actions should the Assistant take? insert the tips of the cannula into the patient's nostrils - ✔✔a provider asks a medical assistant to administer oxygen to a patient who is experiencing respiratory distress. which of the following actions should the medical assistant take when administering oxygen to the patient? a subject line in all capital letters - ✔✔a medical assistant is composing business correspondence using the simple letter style. which of the following features should the assistant use? Gastrointestinal - ✔✔which of the following body systems should be evaluated for a diagnosis of pyloric stenosis a tongue blade - ✔✔a medical assistant is preparing to apply ointment to several abrasions on a patient's leg. which of the following supplies should the medical assistant use to remove the medication from the jar? 150/90 mmHg - ✔✔a medical Assistant is measuring vital signs of an adult patient. the assistant should identify which of the following blood pressure readings as primary hypertension? Physician Assistant - ✔✔a medical assistant is speaking with a patient who has seasonal allergies. which of the following healthcare providers should the assistant identify as being able to make diagnosis and initiate the necessary treatment? adjust the patient's account to reflect no unpaid charges and write off the balance - ✔✔a medical Assistant is reviewing a Medicare claim denial. the Assistant determines that there are charges that exceed the usual, customary and reasonable fees. which of the following actions should the Assistant take? you may experience a watery discharge for up to 1 week after your procedure - ✔✔a ma is reviewing discharge information with a patient who is postoperative following cryosurgery to the cervix. which of the following statements should the Assistant include? provider's name - ✔✔a medical assistant is making a new sign-in sheet for the patients who have appointments that day. which of the following information should the sign-in sheet include? normal weight - ✔✔a medical assistant is caring for a patient who has a body mass index (BMI) of 23. this patient should be categorized as which of the following? Goniometer - ✔✔measures joint movement in a single plane use hand gestures - ✔✔when speaking with a patient who has moderate hear loss and reads lips, which of the following actions should a medical assistant take to aid in communication with the patient? Emphysema - ✔✔a condition in which the air sacs of the lungs are damaged and enlarged, causing breathlessness. place the zero mark of the measuring tape against the infant's eras - ✔✔a medical assistant is measuring the circumference of an infant's head. which of the following actions should the assistant take the provider should review alternative procedures with the patient - ✔✔when informed consent is required for a procedure, which of the following steps should occur prior to the patient signing the form? kyphosis - ✔✔curvature of the thoracic spine that is a common result of aging 15 mL - ✔✔the provider orders the medical assistant to prepare a tablespoon of medication for a patient. how many milliliters of medication should the assistant draw up? 1 tbsp parasitic - ✔✔a common parasitic infection that is highly contagious. also known as lice warm the patient's hands - ✔✔a medical assistant is preparing to perform a capillary collection from an older adult patient who has poor circulation in his hands. which of the following techniques should the assistant use to increase circulation at the collection site? Cytobrush - ✔✔when assisting a provider with a vaginal examination and Papanicolaou (Pap) test, a medical assistant should identify that which fo the following instruments is necessary? source-oriented - ✔✔which of the following medical record documentation templates is organized by the entity that supplied the data right ear facing up with the earlobe pulled down and back - ✔✔in which of the following positions should a medical assistant place an 18-month- old patient when administering ear drops to the right ear? Papules - ✔✔solid elevations that are less than 0.5 cm (0.2 in) in diameter. a common cause is allergic eczema document the statement in the patients chart - ✔✔a medical assistant in an acute care facility is checking in a patient who has a deep laceration. the patient tells the assistant that he cannot accept blood transfusions due to his religious beliefs. which of the following actions should the assistant take? obtain the blood sample after inserting the test strip into the glucometer - ✔✔a medical assistant is preparing to use a glucometer to measure a patient's blood glucose level. which of the following actions should the assistant take? Sims - ✔✔In which of the following positions should a CCMA place a patient for a rectal exam? to convert from lb to kg - ✔✔multiply lb by 0.45 human chorionic gonadotropin (hCG) test - ✔✔which of the following is a CLIA-waived laboratory test nystagmus - ✔✔Constant involuntary movement of the eyes in a circular, vertical or horizontal pattern. Blood glucose 500 mg/dL - ✔✔which of the following laboratory values should a medical assistant immediately report to a patient's provider? you should avoid using an electric blanket during monitoring - ✔✔a medial assistant is preparing a patient for wearing a holter monitor. which of the following instructions should the assistant include? hematemesis - ✔✔vomiting blood discontinue the test - ✔✔a medical assistant is monitoring a patient during a stress test. the patient becomes increasingly short of breath and tachycardic. abnormalities appear in his EKG rhythm. which of the following actions should he assistant take first.? QRS complex - ✔✔ventricular depolarization mononucleosis - ✔✔a contagious disease that is caused by the Epstein-Barr virus tinnitus - ✔✔ringing in the ears removing sutures from a healing laceration - ✔✔which of the following tasks is within the scope of practice for a medical Assistant in a clinical setting? Order additional laboratory tests to confirm the patient's condition - ✔✔which of the following is outside of a medical assistant's scope of practice? At the fifth intercostal space, left midclavicular line - ✔✔in which of the following locations should a medical Assistant place the electrode for lead V4? Meals on Wheels - ✔✔A program that delivers meals to individuals at home who are unable to purchase or prepare their own meals. review the days encounter forms to determine if another patient received the services - ✔✔a patient reports getting a bill that includes services she did not receive. which of the following actions should a ma take to reconcile these charges? 128/78 mm Hg - ✔✔classified as elevated blood pressure which of the following groups of EKG leads are bipolar - ✔✔Leads I, II, and III assisting a provider with the removal of a cyst - ✔✔according to OSHA guidelines for universal precautions, which of the following types of patient contact would require a medical Assistant to wear gloves, a mask, a face shield and protective apparel? be sure to call your provider if you have a fever over 100 degrees Fahrenheit - ✔✔a ma is reinforcing teaching with a patient who is going home after having extensive suturing to a laceration. which of the following instructions should the Assistant include? Interrupted baseline - ✔✔Which of the following EKG artifacts is caused by a disconnected electrode and results in the tracing going into the margins of the paper? list of medications with diagnosis - ✔✔a patient is entitled to which of the following medical records? in the morning - ✔✔at what time of a day will a patient's body temperature be at its lowest? reinforce teaching about the frequency of medication administration - ✔✔a ma is discussing information with a patient about a new medication that the provider prescribed. which of the following actions should the Assistant take? 90 degrees - ✔✔a medical Assistant is assisting a patient who is obese with an insulin injection. which of the following is the correct angle for this patient's injection? on the left anterior axillary line, horizontal to V4 - ✔✔Where should a medical assistant place the electrode for lead V5? Parentage testing - ✔✔a medical assistant should follow chain of custody guidelines for which of the following types of laboratory results? Remove any chemical-covered clothing - ✔✔a medical assistant is assisting in the treatment of a patient who experienced a chemical burn. which of the following steps should the Assistant take? lying face up, with the legs bent and feel flat on the table - ✔✔dorsal recumbent position Nitroglycerin - ✔✔a vasodilator that is used to treat angina or chest pain. it is available in a sublingual tablet or sublingual spray mineral deposits from tap water - ✔✔when unloading an autoclave machine, a ma notifies spots on the instruments. the Assistant should recognize that this a result of which of the following? inspect the integrity of the needles seal - ✔✔Which of the following actions should a medical assistant take to verify the quality of venipuncture supplies before beginning a blood draw? A clean-up kit - ✔✔a ma discovers an unidentifiable liquid on the floor of ones of the clinic's treatment rooms. which of the following materials should the Assistant use to remove and dispose of the liquid? Rinne test - ✔✔the patient is instructed to raise his hand when the sound disappears Recent laboratory results - ✔✔prior to a patient's follow-up appointment, which of the following information should a MA report to the provider? - ✔✔ chondr - ✔✔cartilage Standard of Care - ✔✔the degree of care, skill, and diligence an equally qualified caregiver in theHeaalth profession would provide in similar circumstances Roles and Responsibilities of the Medical Assistant - ✔✔is primarily to work alongside a provider in an outpatient or ambulatory setting (medical office), MA might be cross-trained to perform administrative and clinical duties. Administrative Duties - ✔✔Greet patients, handle correspondence, schedule appointments, answer telephone, arrange hospital admissions Clinical Duties - ✔✔obtaining medical histories from patients, explaining treatments or procedures, drawing laboratory tests and preparing and administering immunizations Medical Doctors (MDs) - ✔✔allopathic providers and are the most widely recognized type of doctor. they diagnose illnesses, provide treatments, perform procedures such as surgical intervention, and write prescriptions. Osteopathic providers (DOs) - ✔✔complete requirements that are similar to the MDs to graduate and practice medicine. In addition to using modern medicine and surgical procedures, DOs use osteopathic manipulative therapy (OMT) in treating their patients. Nurse Practitioners - ✔✔Provide basic patient care services, including diagnosing and prescribing medications for common illnesses. Medical Laboratory Technicians - ✔✔collect samples and perform tests to analyze body fluids, tissue, and other substances. Physician Assistants - ✔✔practice medicine under the direction and supervision of a licensed MD or DO. Are able to make clinical decisions and be responsible for a variety of services Medical Receptionists - ✔✔check patients in and out, answer phones, and perform filing, faxing, and other tasks. Occupational Therapists - ✔✔assist patients who have developed conditions that disable them developmentally, emotionally, mentally, or physically Pharmacy Technician - ✔✔assist pharmacists with duties that do not require the expertise or judgement of a licensed pharmacist Physical Therapist - ✔✔assists patients in regarding their mobility and improving their strength and range of motion Radiology Technician - ✔✔uses various types of imaging equipment to assist the provider in diagnosing and treating certain diseases. Professionalism - ✔✔consists of the skills, behavior, and appropriate judgement that represent the best qualities of a person in a specific profession. MA must exhibit a courteous, conscientious and a businesslike manner in the workplace. Dependability, initiative, flexibility, confidentiality and a good attitude are all necessary with a high level of professionalism Appropriate Dress - ✔✔includes good personal hygiene and appropriate work attire. Avoid perfumes and colognes due to possible patient sensitivities. Wear makeup conservatively and keep nails clean (no acrylic) and at a reasonable length. Dress code vary, but clothing should be comfortable and fit appropriately. Many facilities do not allow facial piercings, extreme hairstyles or visible tattoos Work Ethic - ✔✔A set of values based on the moral virtues of hard work and diligence. based on an individuals diligence, virtues, morals, and desire to put forth a strong effort in their chosen profession. Integrity - ✔✔the quality of being honest and having strong moral principles. All members of the health care team must have a high level of integrity. Honest, truthfulness and equal treatment of all patients is a necessity for quality care in administrative and clinical settings Accountability - ✔✔Being responsible for one's own actions. it also means being able to explain and answer questions relating to their actions. MAs must be accountable for their actions regarding any clinical or administrative tasks at all times Flexibility - ✔✔a MA must be able to acclimate to a wide variety of situations. in the event of an emergency in the office, the staff must be flexible enough to adjust to schedule changes for all patients. being flexible also means that staff members are willing to assist each other when workloads are uneven. open-mindedness - ✔✔a willingness to try new things or to hear and consider new ideas Scope of practice - ✔✔describes the duties that can be delegated to medical assistants based on their education, training and experience. Variables for the Scope of Practice - ✔✔include regulations and policies issues by state medical boards. A MA with appropriate training may safely provide technical supportive services that are simple, routine medical tasks under the supervision of a licensed physician. Health Care Delivery - ✔✔the organization of individuals, establishments, and resources to deliver health care services and meet the health needs of specific populations. Accountable Care Organizations (ACOs) - ✔✔the group of physicians, hospitals, and other health care providers come together voluntarily to provide coordinated high-quality care to their Medicare patients. Capitation (partial or full) - ✔✔Patients are assigned a per-member, per-month payment based on their age, race, sex, lifestyle, medical history, and benefit design. Payment rates are tied to expected usage regardless of how often the patient visits. Under partial capitation models, only specific types or categories of services are paid on a basis of capitation. global budget - ✔✔patients are assigned a per-member, per-month payment based on their age, race, sex, lifestyle, medical history and benefit design. Payment rates are tied to expected usage regardless of how often the patient visits. Like bundled payment models, providers have an incentive to help patients avoid high-cost procedures and tests to maximize their compensation. Under partial - or blended - capitation models, only specific types or categories of services are paid on a basis of capitation. Health Maintenance Organization (HMO) - ✔✔plan that contracts with a medical center or group of providers to provide a preventive and acute care for the insured person. HMOs generally require referrals to specialists, as well as precertification and preauthorization for hospital admissions, outpatient procedures and treatments patient centered medical home (PCMH) - ✔✔A model of primary care provider (PCP) coordinates treatment to make sure patients receive the required care when and where they need it, and in a way they can understand pay for performance - ✔✔compensates providers only if they meet certain measures for quality and efficiency, Preferred Provider Organization (PPO) - ✔✔a health care plan that contracts with health care professionals to provide services at a reduced fee and gives patients financial incentives to use network providers general practitioner - ✔✔A medical doctor who treats acute and chronic illnesses and provides preventive care and health education to patients. family practitioner - ✔✔Offer care to the whole family, from newborns to older adults. Internist - ✔✔Provides comprehensive care, practices preventive care, and treats long-term and chronic conditions. Advance Beneficiary Notice (ABN) - ✔✔A form provided to the patient when the provider believes Medicare will probably not pay for services received Allowed amount - ✔✔The maximum amount a third-party payer will pay for a particular procedure or service copayment - ✔✔An amount of money that is paid at the time of medical service Coinsurance - ✔✔A policy provision in which the policyholder and the insurance company share the cost of covered medical services in a specified ratio. Deductible - ✔✔a specific amount of money a patient must pay out of pocket before the insurance carrier begins paying Explanation of Benefits (EOB) - ✔✔A statement from an insurance carrier describing what services were paid, denied, or reduced in payment participating provider - ✔✔Providers who agree to write off the difference between the amount charged by the provider and the approved fee established by the insurer Medicare - ✔✔covers patients age 65 and older by Part A (hospitalization) or Part B (routine medical office visits) benefits Tricare - ✔✔authorizes dependents of military personnel to receive treatment from civilian providers at the expense of the federal government CHAMPVA - ✔✔covers surviving spouses and dependent children of veterans who died as a result of service-related disabilities Medicaid - ✔✔provides health insurance to the medically indigent population through a cost-sharing program between federal and state governments for those who meet specific eligibility criteria Managed care - ✔✔an umbrella term for plans that provide health care in return for preset scheduled payments and coordinated care through a defined network of providers and hospitals Workers Compensation - ✔✔Protects employees in the event of injuries caused by work related activities CMS-1500 Form - ✔✔for claims submitted by a provider or supplier. MA must have all information needed to complete the form: patients and guarantor's demographic and insurance information; diagnostic test, treatment or procedure information; and billing information. CMS-1500 Form Sections - ✔✔Section 1: Carrier Block contains the address of the insurance carrier and is located at the top of the form Section 2: Patient/Insured Section contains information about the patient or insured (if other than the patient); Includes boxes 1 through 13 Section 3: Physician/Supplier Section contains information about the physician or supplier; includes boxes 14 through 33 AD, AS, AU - ✔✔right ear, left ear, both ears OD, OS, OU - ✔✔right eye, left eye, both eyes Schedule 1 controlled substances - ✔✔includes substances that have a high potential for abuse and no approved medical use in the USA Schedule 2 Controlled Substances - ✔✔includes substances that have a high potential for abuse, are considered dangerous and can lead to a psychological and physical dependence Schedule 3 Controlled Substances - ✔✔includes substances that have a moderate to low potential for physical and psychological dependence Schedule 4 Controlled Substances - ✔✔Includes substances that have a low potential for abuse and dependence. Includes diazepam, zolpidem, eszopicline, aprazolam, chlordiazepoxide, and clonazepam. Substance 5 Controlled Substances - ✔✔includes substances that contain limited quantities of some narcotics, usually for antidiarrheal, antitussive, and analgestic purposes CMS-1500 Form Blocks 1-8 - ✔✔Block 1: Check the box indicating what kind of insurance is applicable, such as Medicare Block 1A: the patient's Medicare Health Insurance Claim Number (NICN). Block 2: The Patient's first name, middle initial (if any) and last name Block 3: The patient's eight-digit birth date recorded as MM/DD/CCYY and sex Block 4: if there is insurance primary to Medicare, obtained through the patients or spouses place of work or through any other source, list the name of the insured here Block 5: the patient's mailing address and telephone number Block 6: check the appropriate box for patients relationship to the insured Block 7: enter the insured's address and phone number Block 8: leave blank CMS-1500 Form Blocks 9-13 - ✔✔Block 9: write the last name, first name and middle initial of the Medigap enrollee if it is a different person form the one listed in block 2 Block 9A Enter the policy and/or group number of the Medigap insured preceded by MEDIGAP, MG or MGAP Block 9B: leave blank Block 9c: leave blank Block 9D: write in the coordination of benefits Agreement Medigap-based identifier Blocks 10A-10C: Check "yes" or "no" to indicate whether employment, auto liability or other accident improvement applies to one or more of the services listed in Block 24. An "yes" answer indicates there may be other insurance primary to Medicare Block 11: This is an important field. This is the place to indicate that a good faith effort has been made to determine whether Medicare is the primary insurance. Information about insurance primary to Medicare should be listed in blocks 11A-11C Block 11A: this is where the insured's birth date goes. Block 11B: for insurance primary to Medicare, enter employers name, if applicable. If there is a changed in insured's insurance states (e.g., retired), enter either a 6 digit (MMDDYY) or 8 digit (MMDDCCYY) retirement date preceded by the word "RETIRED". For Tricare and CHAMPVA, enter the sponsors branch of service, using abbreviations (e.g., United States Navy = USN) Block 11C: enter the nine-digit payer ID number of the primary insurer Block 11D: For Medicare, leave blank. For all other payers, enter an "x" in the correct box Block 12: this is the place where the patient or an authorized person signs to authorize the release of medical information. The field must be dated and entered as a six- or eight-digit date. Block 13: this signature authorizes payment of benefits to the provider or supplier. CMS-1500 Form Blocks 14-18 - ✔✔Block 14: For Medicare, for the current illness, injury or pregnancy, enter either an 8-digit (MMDDCCYY) or 6-digit (MMDDYY). For Chiropractic services, enter the date of initiation of the course of treatment and enter the date of x-ray. For commercial claims: enter the date of the first date of the first date of the present illness, injury, or pregnancy. For pregnancy, use the date of the last menstrual period (LMP) as the first date. Enter the applicable qualifier to identify when date is being reported (e.g.,:431 Onset of Current Symptome or Illness, 484 Last Menstrual Period) Block 15: For Medicare, leave blank (not required) For all other carriers, check the payer-specfic instructions Block 16: Dates patients is unable to work in his/her current occupation. this is required if the patient is eligible for disability or workers compensation benefits. to fill out this field, enter the "From" and "To" dates as follows: MMDDYYY or MMDDCCYY Block 17: this is where the name of the referring or ordering provider goes. if Medicare requires that a supervising provider be listed, this is where to put that name. if a claim involves more than one referring, ordering or supervising provider, a separate claim must be submitted for each one Block 17A: leave blank Block 17B: the NPI number goes here Block 18: Dates enter in a six- or eight- digit format when a medical service rendered is a result of, or subsequent to, a related hospitalization CMS-1500 Form Blocks 19-23 - ✔✔Block 19: this block is used in numerous ways, based on the circumstances and payer type Block 20: mark yes to the question asked if lab tests were done by an entity order than the one doing the billing Block 21: this is where the diagnosis coded go. use ICD-10-CM codes to the greatest specificity possible Block 22: carrier-specific block; use for Medicaid claims Block 23: the quality improvement organization (QIO) prior authorization number goes here for those procedures that require it. Enter the investigational device exemption (IDE) when an investigation device is used in an FDA-approved Clinical trial CMS-1500 Form Blocks 24A-J - ✔✔Block 24A: dates of services are listed here Block 24B: this is where places of services codes go. Block 24C: carrier-specific block; used by Medicaid Block 24D: enter procedures, services, and supplies Block 24E: this field is for the diagnosis reference code Block 24F: enter the providers billed charges for each service Block 24G: Enter the number of days or units. mostly used for multiple visits, units of supplies, anesthesia minutes or oxygen volume. Block 24H: carrier specific block. Block 24I: Enter the ID qualifier 1C in the shaded position Block 24J: Enter the providers NPI in the unshaded position CMS-1500 Form Blocks 25-33A - ✔✔Block 25: Enter the providers or suppliers federal ID number or Social Security number and check the appropriate box Block 26: enter the patients account number Block 27: check the appropriate box to indicate whether the provider or supplier accept the assignment of benefits Block 28: Enter total charges for all services Block 29: for secondary claims only. Enter the total amount the patient's primary insurance paid Block 30: leave blank Block 31: Enter the signature of the provider or the signature of an authorized representative Block 32: Enter the name, address and ZIP Code of the facility where services were rendered Block 32A: Enter the NPI of the facility Block 33: the providers or suppliers billing name, address, ZIP code and telephone number Block 33A: the NPI of the billing provider abd - ✔✔abdomen ABGs - ✔✔arterial blood gases ac - ✔✔before meals ACLS - ✔✔advanced cardiac life support ad lib - ✔✔as desired AKA - ✔✔above knee amputation AMA - ✔✔against medical advice ASA - ✔✔aspirin BE - ✔✔barium enema BKA - ✔✔below knee amputation BM - ✔✔bowel movement BMI - ✔✔body mass index BP - ✔✔blood pressure BPH - ✔✔benign prostatic hypertrophy BPM - ✔✔beats per minute; breaths per minute BRP - ✔✔bathroom privileges BSA - ✔✔body surface area BSA - ✔✔body surface area [Show More]

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