NHA CBCS Exam Questions and Answers
100% Solved
whats describes a clean claim? all necessary data is completed
Administration Simplification Compliance Act (ASCA) in 2012 they mandated that all
healthcare claims be submitted electronically with some exceptions; this is title II of HIPAA
NPI (National Provider Identifier) a standard identifier for healthcare providers consisting of
ten numbers
NPI numbers are found 17b referring physician
24j rendering provider
32a service facility
33a billing provider
by signing block 12 authorizing the release of medical information
by signing block 13 authorizing the release of funds to a provider
Charge Description Master CDM contains all information about healthcare services and
previous financial transactions that patient's receive; make sure provider accurately charges the
pt for routine routine services and supplies
, Advanced Beneficiary Notice (ABN) received at the provider's office; document given to
medicare beneficiaries indicating the services medicare is unlikely to pay for
incomplete claims
invalid claims
denied claims
Rejected Claim
E code disease code
abstracting involves Selecting relevant information from the health record.
After abstracting information is coded
837 format appropriate format for transmitting electronic claims to 3rd party payers
835 format for healthcare claims payment and remittance advice
100% Solved
whats describes a clean claim? all necessary data is completed
Administration Simplification Compliance Act (ASCA) in 2012 they mandated that all
healthcare claims be submitted electronically with some exceptions; this is title II of HIPAA
NPI (National Provider Identifier) a standard identifier for healthcare providers consisting of
ten numbers
NPI numbers are found 17b referring physician
24j rendering provider
32a service facility
33a billing provider
by signing block 12 authorizing the release of medical information
by signing block 13 authorizing the release of funds to a provider
Charge Description Master CDM contains all information about healthcare services and
previous financial transactions that patient's receive; make sure provider accurately charges the
pt for routine routine services and supplies
, Advanced Beneficiary Notice (ABN) received at the provider's office; document given to
medicare beneficiaries indicating the services medicare is unlikely to pay for
incomplete claims
invalid claims
denied claims
Rejected Claim
E code disease code
abstracting involves Selecting relevant information from the health record.
After abstracting information is coded
837 format appropriate format for transmitting electronic claims to 3rd party payers
835 format for healthcare claims payment and remittance advice
