NHA - Certified Billing and Coding Specialist (CBCS) Study Guide (with complete solutions)

The symbol "O" in the Current Procedural Terminology reference is used to indicate what? correct answers Reinstated or recycled code In the anesthesia section of the CPT manual, what are considered qualifying circumstances? correct answers 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 answers 12 What is considered proper supportive documentation for reporting CPT and ICD codes for surgical procedures? correct answers Operative report What action should be taken first when reviewing a delinquent claim? correct answers Verify the age of the account A claim can be denied or rejected for which of the following reasons? correct answers Block 24D contains the diagnosis code A coroner's autopsy is comprised of what examinations? correct answers Gross Examination Medigap coverage is offered to Medicare beneficiaries by whom? correct answers Private third-party payers What part of Medicare covers prescriptions? correct answers Part C What plane divides the body into left and right? correct answers Sagittal Where can unlisted codes be found in the CPT manual? correct answers Guidelines prior to each section Ambulatory surgery centers, home health care, and hospice organizations use which form to submit claims? correct answers UB-04 Claim Form What color format is acceptable on the CMS-1500 claim form? correct answers Red Who is responsible to pay the deductible? correct answers Patient A patient's health plan is referred to as the "payer of last resort." What is the name of that health plan? correct answers Medicaid