CBCS Medical Billing and Coding Exam |460 Questions and Answers 2023 Solved Correctly

National Coverage Determination (NCD) - Which of the following Medicare policies determines if a particular item or service is covered by Medicare? Adjudication - Which of the following is considered the final determination of the issues involving settlement of an insurance claim? Encounter Form - A form that contains charges, DOS, CPT codes, ICD codes, fees and copayment information Admitting clerk - A patient comes to the hospital for an inpatient procedure. Which of the following hospital staff members is responsible for the initial patient interview, obtaining demographic and insurance information and documenting the chief complaint. Using data encryption software on office workstations - Which of the following privacy measures ensures protected health information (PHI) Sagittal - Divides the body from left and right Coordination of Benefits - Which of the following provisions ensures that an insured's benefits from all insurance companies do not exceed 100% of allowable medical expenses? Verify the age of the account - Which of the following actions should be taken first when reviewing a delinquent claim? Claims are expedited - Advantage of electronic claim submission Claim control number - Which of the following components of an explanation of benefits expedites the process of a phone appeal?Billing for services not provided - Which of the following actions by a billing and coding specialist is considered fraud? Blocks 14 through 33 - The patient's condition and the provider's information are shown in what blocks in CMS 1500 form? Coding Compliance Plan -Which of the following includes procedures and best practices for correct coding? Use Arial size 10 font - When completing a CMS 1500 form which of the following is an acceptable action for the billing and coding specialist to take The claim requires an attachment - Which of the following indicates a claim should be submitted on paper instead of electronically? NPI (National Provider Identifier) - According to HIPAA Standards which of the following identifies the rendering provider on the CMS 1500 claim form in Block 24J? Block 32 - Service facility location information in CMS 1500