NHA - CBCS STUDY GUIDE QUESTIONS (CORRECT ANSWERS).docx

NHA - CBCS STUDY GUIDE QUESTIONS
(CORRECT ANSWERS)




The symbol "O" in the Current Procedural Terminology reference is used to indicate what? - correct answer
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Reinstated or recycled code q q q




In the anesthesia section of the CPT manual, what are considered qualifying circumstances? - correct answer
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Add-on codes q




As of April 1, 2014 what is the maximum number of diagnoses that can be reported on the CMS-1500 claim
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form before a further claim is required? - correct answer 12
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What is considered proper supportive documentation for reporting CPT and ICD codes for surgical
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procedures? - correct answer Operative report q q q q q




What action should be taken first when reviewing a delinquent claim? - correct answer Verify the age of the
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account



A claim can be denied or rejected for which of the following reasons? - correct answer Block 24D contains the
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diagnosis code q




A coroner's autopsy is comprised of what examinations? - correct answer Gross Examination
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, Medigap coverage is offered to Medicare beneficiaries by whom? - correct answer Private third-party payers
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What part of Medicare covers prescriptions? - correct answer Part C
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What plane divides the body into left and right? - correct answer Sagittal
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Where can unlisted codes be found in the CPT manual? - correct answer Guidelines prior to each section
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Ambulatory surgery centers, home health care, and hospice organizations use which form to submit claims? -
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correct answer UB-04 Claim Form
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What color format is acceptable on the CMS-1500 claim form? - correct answer Red
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Who is responsible to pay the deductible? - correct answer Patient
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A patient's health plan is referred to as the "payer of last resort." What is the name of that health plan? -
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correct answer Medicaid q q




Informed Consent - correct answer Providers explain medical or diagnostic procedures, surgical
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interventions, and the benefits and risks involved, giving patients an opportunity to ask questions before
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medical intervention is provided.q q q




Implied Consent - correct answer A patient presents for treatment, such as extending an arm to allow a
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venipuncture to be performed. q q q




Clearinghouse - correct answer Agency that converts claims into standardized electronic format, looks for
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errors, and formats them according to HIPAA and insurance standards.
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Individually Identifiable - correct answer Documents that identify the person or provide enough information
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so that the person can be identified.
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