ACTUAL EXAMS WITH COMPLETE QUESTIONS AND ANSWERS
/VERIFIED/GRADED A+/
Using the information in CPB Chapter 8 Case 4 to answer
question 5.
After review of the information provided, are there any errors
on the claim form? If so, which elements are incorrect?
I Primary Insurance
II Primary insurance ID number
III Relationship to the insured
IV Birthdate of insured
V Provider NPI
VI CPT code(s)
VII Modifier
VIII Diagnosis code
IX Units of service
X Service Facility Location Information
a. I, IV, V and VIII
b. II, V, and VI
c. II and V
d. None of the above
a. I, IV, V and VIII
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, Rationale: All of the elements are correct except -I - Primary
Insurance. The primary insurance listed on the claim is
Medhealth. It should be Health Systems. IV - There is no
secondary insurance listed on the claim form. V - Secondary
insurance ID number. Because there is no secondary
insurance listed, there is also no insurance ID listed. VIII -
Diagnosis code(s). The diagnosis code is incorrect. Enter the
ICD-10-CM codes without decimals in proper code sequence.
For example, code F17.219 should be reported as F17219 on the
claim form
Use the information in CPB Chapter 8 Case 5 to answer
questions 6 and 7. After review of the information provided,
are there any errors on the claim form? If so, which elements
are incorrect?
I Date of Birth
II Date of service
III Primary insurance policy number
IV Secondary insurance policy
V Secondary insurance policy number
VI Secondary insurance group number
VII Place of service
VIII Billing provider
IX Provider signature
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