(CORRECT ANSWERS)
Which of the following electronic forms is used to post payments? - correct answer Electronic remittance
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advice (ERA) q
If a clean claim is received March 1 of this year, which of the following is the allowable last day of payment in
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order to meet Medicare compliance requirements? - correct answer March 30
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Threading a catheter with balloon into a coronary artery and expanding it to repair arteries describes which of
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the following procedures? - correct answer Angioplasty
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The authorization number for a service that was approved before the service was rendered is indicated in
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which of the following blocks on the CMS-1500 claim form? - correct answer Block 23
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Which of the following blocks of the CMS-1500 claim form indicates an ICD diagnosis code? - correct answer
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Block 21 q
A patient who has an HMO insurance plan needs to see a specialist for a specific problem. From which of the
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following should the patient obtain an referral? - correct answer Primary Care Provider
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A provider surgically punctures through the space between the patient's ribs using an aspirating needle to
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withdraw fluid from the chest cavity. Which of the following is the name of this procedure? - correct answer
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Pleurocentesis
, Which of the following standardized formats are used in the electronic filing of claims? - correct answer HIPAA
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standard transactions
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Which of the following blocks on the CMS-1500 claim form is used to accept assignment of benefit? - correct
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answer Block 27 q q
On the CMS-1500 claim form, blocks 14 through 33 contain information about which of the following? -
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correct answer The patient's condition and the provider's information
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The explanation of benefits states the amount billed was $80. The allowed amount is $60, and the patient is
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required to pay a $20 copayment. Which of the following describes the insurance check amount to be posted?
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- correct answer $40
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Which of the following should a billing coding specialist use to submit a claim with supporting documents? -
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correct answer Claims Attachmentq q q
When reviewing an established patient's insurance card, the billing and coding specialist notices a minor
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change from the existing card on file. Which of the following actions should the billing and coding specialist
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take? - correct answer Photo copy both sides of the card
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Which of the following accurately describes code symbols found in the CPT manual? - correct answer A
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product pending FDA approval is indicated as a lightning-bolt symbol
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Which of the following Medicare policies determines if a particular item or service is covered by Medicare? -
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correct answer National Coverage Determination (NCD)
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Which of the following options is considered proper supportive documentation for reporting CPT and ICD
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codes for surgical procedures? * - correct answer Operative report
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Which of the following is an example of a remark code from an explanation of benefits document? - correct
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answer Contractual allowance q q