CBCS Practice 2.0A Questions and Correct Answers

CBCS Practice 2.0A Questions and Correct Answers A claim is submitted with a transposed insurance member ID number & returned to the provider. This describes the status that should be assigned to the claim by the carrier? - ANSWER Invalid. Medigap coverage is offered to Medicare beneficiaries by? - ANSWER Private Third-party payers This provision ensures that an insured's benefits from all insurance companies does not exceed 100% of allowable medical expenses? - ANSWER Coordination of benefits. A coroner's autopsy is comprised of which examination? - ANSWER Gross examination. This statement is true regarding the release of patient records? - ANSWER Patient access to psychotherapy notes may be restricted. Actions by a billing & coding specialist would be considered fraud? - ANSWER Billing for services not provided. The components of an explanation of benefits expedites the process of a phone appeal? - ANSWER Claim control number. On the CMS-1500 claim form, blocks 14 through 33 contain information of? - ANSWER The patient's condition & the provider's information. A billing & coding specialist should understand that the financial record source that is generated by a provider's office is called a? - ANSWER Patient Ledger Account. The medical terms refer to the sac that endoses the heart? - ANSWER Pericardium.