CBC PRACTICE 2024 LATEST EXAM UPDATE QUESTIONS(WITH 100% CORRECT ANSWERS)100% GUARANTEED SUCCESS

why does correct claim processing rely on accurately completed encounter forms? They streamline patient billing by summarizing the services rendered for a given date of service for which of the following time periods should the billing and coding specialist track unpaid claims before taking follow up action? 30 days when posting payment accurately, which of the following should the billing and coding specialist include? Patient's Responsibility a beneficiary of a medicare/medicaid crossover claim submitted by a participating provider is responsible for which percentage? 0% a biller will electronically submit a claim to the carrier via which of the following? Direct data entry when a physician documents a patients response to symptoms and various body systems, the results are documented as which of the following? Review of systems which of the following situations constitutes a consultation? services rendered by a physician whos opinion or advice is requested by another physician or agency which of the following forms must the patient or representative sign to allow the release of protected health information? an authorization Block 17b of the CMS-1500 claim form should list what information? the referring NPI number what was developed to reduce medicare program expenditures by detecting inappropriate codes and eliminating improper coding practices? NCCI which of the following describes the status of a claim that does not include required preauthorization for a service? denied what body system regulates immunity? lymphatic system what is used by providers to remove errors from claim forms before they are submitted to third party payers? clearinghouse what goes in block 33a of the CMS-1500 claim form? national provider identification number (NPI) a provider receives a reimbursement from a third party payer accompanied by what document? Explanation of Benefits (EOB) what is the third stage of the life cycle of a claim? claims adjudication which block on CMS-1500 claim form is required to indicate a workers compensation claim? block 10A which of the following steps would be a part of a physicians practice compliance program? internal monitoring and auditing which of the following is the primary information used to determine the priority collection letters to patients? the age of the account what kind of claim would appear on an aging report? a claim that is deliquent for 60 days what do physicians use to to electronically submit claims? clearinghouse when should a claim be submitted on paper instead of electronically? when the claim requires an attachment how many volumes are in the ICD-9-CM manual? 3 volumes which block does the prior authorization number go? block 23 which part of medicare covers prescriptions? Part D what is the correct term for an amount that has been determined to be uncollectable? bad debt accepting assignment on the CMS-1500 claim form means what? the physician agrees to accept payment under the terms of the payers program what is one of the purposes of an internal auditing program in a physicians office? verifying that the medical records and the billing records match in an outpatient setting, which of the following is used as a financial report of all services provided to the patients? patient account record what organization identifies improper payments made on a CMS claim form? Recovery Audit Contractor (RAC)