NHA Practice Questions Billing and Coding Verified Answers

NHA Practice Questions Billing and Coding What indicates a claim should be submitted on paper instead of electronically - The claim requires an attachment What steps wold be part of a physicians practice compliance program - Internal monitoring and auditing What is the third stage of the life cycle of a claim - Claims Adjudication What is the advantage of electronic claim submission - Claims are expedited In an outpatient setting what forms are used as a financial report of all services provided to patients - Patient account record What document is required to disclose an adult patient information - A signed release from the patient What is a type of claim that will be denied by the third party payer - Incomplete claim What is a billing practice action - Documenting the patients chief complaint, history, exam assessment and plan A billing and coding specialist needs to know how much Medicare paid on a claim before billing secondary should refer to - Remittance advice What is the medical term for the sac that encloses the heart - pericardium What is a constitutes of consultation - Services rendered by a physician whose opinion is required by another What is the purpose of running an aging report each month - To indicate which claims are outstanding CMS-1500 which box do you mark for workers Comp - 10a What is a verbal or written agreement that gives approval to release protected health information (PHI) - Consent What part of Medicare covers prescriptions - Part D The star symbol on CPT code books is used to indicate - Telemedicine Two providers of the same practice visit a patient in the ED using the same CPT codes, the claim maybe denied due to - Duplication services CMS 1500 what block is used to bill ICD codes - Block 21 A participating BCBS provider receives an explanation of benefits, the change was $100 BCBS allowed $80 applied $40 to deductible BCBS paid 80% how much should the patient pay - $48 What is an example of an electronic claim submission - Claims submitted via a secure network When a patient has a condition that is both acute and chronic how should it be reported - Code both sequencing acute first