Medical Billing and Coding Practice Test Exam Verified Answers 2023

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?