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RMA UPDATED COMPLETE QUESTIONS AND ANSWERS PREMIUM LEARNING COMPANION

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RMA UPDATED COMPLETE QUESTIONS AND ANSWERS PREMIUM LEARNING COMPANION

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RMA UPDATED COMPLETE QUESTIONS
AND ANSWERS PREMIUM LEARNING
COMPANION

●● What does HCPCS stand for?
Answer: Healthcare Common Procedure Coding System, HCPCS Level
II codes are essential for billing items and services that CPT codes
(Level I) do not cover. Like DME, drugs and meds, ambulance services,
etc (one letter followed by four numbers)


●● What is a CMS-1500 form? (or universal claim form)
Answer: The CMS-1500 is the standard, 33-field paper form used by
healthcare providers (physicians, suppliers) to bill Medicare, Medicaid,
and private insurance for professional services and equipment. It
documents patient details, diagnoses, and treatments, allowing insurers
to process reimbursements. (include cpt code)


●● What is posting?
Answer: Recorded finaincial transaction in a book keeping or accounting
system


●● What is an itemized statement?
Answer: Shows the amount owed to the physician

,●● CPT Codes (current procedural terminology)
Answer: five digit numeric codes for procedures & services performed
by providers


●● What is a modem?
Answer: office equipment necessary for electronic data interchange


●● Accounts receivable data is obtained from?
Answer: A completed day sheet


●● Aging accounts report
Answer: Outstanding charges owed to a clinic


●● Remittance advice
Answer: Notifies clinic of insurance denial


●● ICD-10-CM
ICD-10 PCS
Answer: Used to identify the diagnosis or reason for visit (ICD-10-CM)
ICD-10-PCS (Procedure Coding System) is a seven-character
alphanumeric coding system used exclusively in the U.S. for inpatient
hospital procedure reporting (3-7 characters, always starts with a letter)

, ●● Clean claim
Answer: Contains all required data and is free of all errors


●● Z codes
Answer: No medical factors like social needs or poor nutrition


●● Copayment
Answer: a small fixed fee paid by the patient at the time of an office
visit, usually after a service has been completed


●● Deductible
Answer: a specified amount of money that the insured must pay before
an insurance company will pay a claim


●● Living will
Answer: Advance directive for MEDICAL treatment in the event they
become terminally ill


●● Six C's of charting
Answer: clients words, clarity, completeness, conciseness, chronological
order, and confidentiality


●● Modified wave scheduling

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