Billing and coding Study guides, Class notes & Summaries

ANCC FNP Exam (2023/ 2024) | Questions and Verified Answers | Latest Update| Graded A 100% Correct 1. A 45-year-old patient with diabetes comes to the clinic for an annual appointment. The patient declines a parenteral influenza vaccination because a friend "came down with the flu after receiving the vaccination." The adult nurse practitioner explains that the vaccination is: A. a polysaccharide, so it may cause a mild case of influenza. B. activated, so it may cause a mild case of in...

Billing and Coding Final Exam Questions and Answers Already Passed A claims assistance professional (CAP) acts as an informal representative of patients and helps patients interpret insurance contracts. False Which level of education is generally required for one who seeks employment as an insurance coder? c) Completion of an accredited program for coding certification The amount of money an insurance billing specialist earns is dependent on which factors? d) All of the above: knowl...

HCCA CHC Exam Prep | 750+ Questions and Verified Answers| 2023/ 2024 Q: True of False: A self-audit is an examination or inspection for providers in reducing non-compliance. Self-audits can lower chances of an external audit and create a robust culture of compliance Answer: True Source: CHC Exam Secrets Study Guide Q: CMS released areas of high-risk fraud, some of those include: A. Sudden changes in billing and billing inappropriate specialties B. Billing of inappropriate d...

NCCT Practice Test 2 Billing and Coding new year 2024 with complete solution

Medical billing and coding latest version graded A+ Medical Insurance Financial plan (the payer) that covers the cost of hospital and medical care Policyholder Person who buys an insurance plan; the insured, subscriber, or guarantor Health Plan Individual or group plan that provides or pays for the cost of medical care Benefits What a health plan pays for services covered in an insurance policy; listed in the schedule of benefits. Medical Necessity Reasonable services of prov...

NCCT Practice Test 2 Billing and Coding Real Exam 2024 Already Passed. CPT codes are - ANSWER ==5 digits An organization which provides a wide range of services for a specified group at a fixed periodic payment is termed an - ANSWER ==HMO TBSA refers to: - ANSWER ==Total body surface area There are two types of CPT codes, stand alone and: - ANSWER ==Indented Codes Services in which opinions of specialists are requested, are called: - ANSWER ==Consultations Examples of HCPCS Level II code...

AAPC Official CPC Certification Study Guide Notes "hold harmless clause" - ANSWER * found in some non-Medicare health plan contracts * prohibits billing to patient for anything beyond deductibles and co-pays. A compliance plan may offer several benefits, including: - ANSWER * more accurate payment of claims * fewer billing mistakes * improved documentation and more accurate coding * less chance of violati...

NHA Billing and Coding practice test (CBCS) 100% Correct The attending physician - Correct Answer ️️ -A nurse is reviewing a patients lab results prior to discharge and discovers an elevated glucose level. Which of the following health care providers should be altered before the nurse can proceed with discharge planning? The patients condition and the providers information - Correct Answer ️️ -On the CMS- 1500 Claims for, blocks 14 through 33 contain information about which of the...

Ham’s Primary Care Geriatrics: A Case-Based Approach 6th Edition Test Bank ISBN-10:4,ISBN-13:9364 Table of Contents UNIT ONE: PRINCIPLES AND PRACTICE 1. Principles of Primary Care of Older Adults 2. Interprofessional Team Care 3. Assessment 4. Wellness and Prevention 5. Advanced Cultural Competency in Caring for Geriatric Patients 6. Appropriate Prescribing 7. Ethics 8. Financing and Organization of Health Care 9. Billing and Coding 10. Hospital Care 11. Long-Term Care 12. Home Care 13. Rehabi...

Medical Billing and Coding Practice Test with Complete Solutions Which of the following Medicare policies determines if a particular item or service is covered by Medicare? National Coverage Determination (NCD) Which of the following is considered the final determination of the issues involving settlement of an insurance claim? Adjudication A form that contains charges, DOS, CPT codes, ICD codes, fees and copayment information Encounter Form A patient comes to the hospital for ...