NHA - CERTIFIED BILLING AND CODING SPECIALIST (CBCS) STUDY GUIDE QUESTIONS WITH CORRECT ANSWERS

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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 considered ... 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 [Show More]

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