Study Guide (Certified Medical Coding and Billing Specialist) with
Verified Answers
UB04 form is used for - -Hospice,
Ambulatory Surgery Centers, Home Health Care
most common reason for claim rejection - -
incorrect or incomplete information
patient confidentiality - -treating patient's
medical information as private and not for
publication PICA pitch 10 - -written CMS 1500 form
signing an Acknowledgement of Notice of PICA pitch 12 - -electronic CMS 1500 form
Privacy Practice is accepting what - -
HIPAA
delinquent claim - -not paid within a certain
amount of time
form to authorize sharing of medical information -
-medical release form
implied contract - -patient scheduling an
appointment with a new provider
standard form used for medical billing - -
CMS-1500
bullet/solid circle - -symbol used to indicate
a new CPT code
must appear on CMS 1500 form prior to
submission - -birth date in 8 digit format, all
caps plus sign (+) - -add on CPT code symbol
encounter form - -financial record source triangle - -new/revised code in HCPCS
document to record treated diagnosis and level 1
services rendered to the patient during the
current encounter. also called the superbill
multiple, varying wound sizes - -add the
sizes together
where non allowed charges are recorded -
-adjustment column
dependents of military personnel - -
required to have military ID for TriCare insurance
10 digit numeric identifier required in box 33A of
CMS 1500 - -National Provider Identifier
(NPI) used as first-listed diagnosis to indicate family
history - -V-Code
CLIA - Clinical Laboratory Improvement Act -
-quality standards for lab tests
1/3
Verified Answers
UB04 form is used for - -Hospice,
Ambulatory Surgery Centers, Home Health Care
most common reason for claim rejection - -
incorrect or incomplete information
patient confidentiality - -treating patient's
medical information as private and not for
publication PICA pitch 10 - -written CMS 1500 form
signing an Acknowledgement of Notice of PICA pitch 12 - -electronic CMS 1500 form
Privacy Practice is accepting what - -
HIPAA
delinquent claim - -not paid within a certain
amount of time
form to authorize sharing of medical information -
-medical release form
implied contract - -patient scheduling an
appointment with a new provider
standard form used for medical billing - -
CMS-1500
bullet/solid circle - -symbol used to indicate
a new CPT code
must appear on CMS 1500 form prior to
submission - -birth date in 8 digit format, all
caps plus sign (+) - -add on CPT code symbol
encounter form - -financial record source triangle - -new/revised code in HCPCS
document to record treated diagnosis and level 1
services rendered to the patient during the
current encounter. also called the superbill
multiple, varying wound sizes - -add the
sizes together
where non allowed charges are recorded -
-adjustment column
dependents of military personnel - -
required to have military ID for TriCare insurance
10 digit numeric identifier required in box 33A of
CMS 1500 - -National Provider Identifier
(NPI) used as first-listed diagnosis to indicate family
history - -V-Code
CLIA - Clinical Laboratory Improvement Act -
-quality standards for lab tests
1/3
