NHA - Certified Billing and Coding Specialist (CBCS) Study Guide

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The symbol "O" in the Current Procedural Terminology reference is used to indicate what? Correct Answer: Reinstated or recycled code In the anesthesia section of the CPT manual, what are c... onsidered qualifying circumstances? Correct Answer: Add-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? Correct Answer: 12 What is considered proper supportive documentation for reporting CPT and ICD codes for surgical procedures? Correct Answer: Operative report What action should be taken first when reviewing a delinquent claim? Correct Answer: Verify the age of the account A claim can be denied or rejected for which of the following reasons? Correct Answer: Block 24D contains the diagnosis code A coroner's autopsy is comprised of what examinations? Correct Answer: Gross Examination Medigap coverage is offered to Medicare beneficiaries by whom? Correct Answer: Private third-party payers What part of Medicare covers prescriptions? Correct Answer: Part C What plane divides the body into left and right? Correct Answer: Sagittal Where can unlisted codes be found in the CPT manual? Correct Answer: Guidelines prior to each section Ambulatory surgery centers, home health care, and hospice organizations use which form to submit claims? Correct Answer: UB-04 Claim Form What color format is acceptable on the CMS-1500 claim form? Correct Answer: Red Who is responsible to pay the deductible? Correct Answer: Patient A patient's health plan is referred to as the "payer of last resort." What is the name of that health plan? Correct Answer: Medicaid Informed Consent Correct Answer: Providers explain medical or diagnostic procedures, surgical interventions, and the benefits and risks involved, giving patients an opportunity to ask questions before medical intervention is provided. [Show More]

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