Study Guide (Certified Medical Coding
and Billing Specialist) fully solved
UB04 form is used for - correct answer ✔✔Hospice, Ambulatory Surgery Centers, Home Health
Care
patient confidentiality - correct answer ✔✔treating patient's medical information as private and
not for publication
signing an Acknowledgement of Notice of Privacy Practice is accepting what - correct answer
✔✔HIPAA
form to authorize sharing of medical information - correct answer ✔✔medical release form
standard form used for medical billing - correct answer ✔✔CMS-1500
must appear on CMS 1500 form prior to submission - correct answer ✔✔birth date in 8 digit
format, all caps
encounter form - correct answer ✔✔financial record source document to record treated
diagnosis and services rendered to the patient during the current encounter. also called the
superbill
where non allowed charges are recorded - correct answer ✔✔adjustment column
10 digit numeric identifier required in box 33A of CMS 1500 - correct answer ✔✔National
Provider Identifier (NPI)
and Billing Specialist) fully solved
UB04 form is used for - correct answer ✔✔Hospice, Ambulatory Surgery Centers, Home Health
Care
patient confidentiality - correct answer ✔✔treating patient's medical information as private and
not for publication
signing an Acknowledgement of Notice of Privacy Practice is accepting what - correct answer
✔✔HIPAA
form to authorize sharing of medical information - correct answer ✔✔medical release form
standard form used for medical billing - correct answer ✔✔CMS-1500
must appear on CMS 1500 form prior to submission - correct answer ✔✔birth date in 8 digit
format, all caps
encounter form - correct answer ✔✔financial record source document to record treated
diagnosis and services rendered to the patient during the current encounter. also called the
superbill
where non allowed charges are recorded - correct answer ✔✔adjustment column
10 digit numeric identifier required in box 33A of CMS 1500 - correct answer ✔✔National
Provider Identifier (NPI)
