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Exam (elaborations)

Billing and Coding Pretest 2022 COMPLETE SOLUTION

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107. Which of the following styles should a billing and coding specialist use to format a patient's date of birth on a CMS-1500 claim form? - O MMDDYYYY 106. A Medicare provider submits a CMS-1500 claim form that is rejected for payment. Which of the following should be a reason for the form's rejection? - O Medical coverage was cancelled In which of the following locations should a billing and coding specialist find the contract information to appeal a claim? - O Insurance company file A patient takes his medication as prescribed and experiences swollen lips. The billing and coding specialist should refer to which of the following sections of ICD-10-CM to identify the appropriate code? - O Adverse effect A billing and coding specialist is reviewing a signed release of information form that does not have a date. Which of the following is correct regarding this release? - O This release is not valid A patient's progress notes indicate that she is primigravida. Which of the following describes the patient's condition? - O Pregnant for the first time A remittance advice states a denial of payment due to lack of preauthorization. Which of the following of actions should the billing and coding specialist take if the appendectomy was an emergency procedure? - File an Appeal A clearinghouse rejects a claim that is missing the patient's date of birth. Which of the following actions should the billing and coding specialist take next? - O Add the missing information and resubmit 74. Under the Health Insurance Portability and Accountability Act (HIPAA), which of the following scenarios requires patients authorization for the release of health information? - O Using patient information for marketing


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