NHA - (3)Certified Billing and Coding Specialist (CBCS) Study Guide 30| 158 QUESTIONS| WITH COMPLETE SOLUTIONS

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 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.