Medical billing Study guides, Class notes & Summaries

Which of the following describes the reason for a claim rejection because of Medicare NCCI edits? Improper Code Combinations (Medicare NCCI edits will trigger a claim rejection for improper code combinations) A claim is submitted with a transposed insurance member ID number and returned to the provider. Which of the following describes the status that should be assigned to the claim by the carrier? Invalid (Invalid claim contains illogical or incorrect information and is returned ...

National Coverage Determination (NCD) - Which of the following Medicare policies determines if a particular item or service is covered by Medicare? Adjudication - Which of the following is considered the final determination of the issues involving settlement of an insurance claim? Encounter Form - A form that contains charges, DOS, CPT codes, ICD codes, fees and copayment information Admitting clerk - A patient comes to the hospital for an inpatient procedure. Which of the following hospi...

CPB Certified Professional Biller Certification (Medical billing cpb exam) Q&A 2023 ( A+ GRADED 100% VERIFIED)

Steps used to control costs of managed care include: - ANSWER-Bundled codes Capitation Payer and Provider to agree on reasonable payment DRG is used to classify - ANSWER-Inpatient admissions for the purpose of reimbursing hospitals for each case in a given category w/a negotiated fixed fee, regardless of the actual costs incurred Identify the various types of private health plan coverage - ANSWER-HMO Conventional PPO and POS HDHP/SO plans - high-deductible health plans with a savings...

Medical Billing and Reimbursement System Questions With Complete Solutions

NCCT Medical Billing And Coding Certification Review Rosita Questions And Answers 2024

MEDICAL BILLING AND CODING LATEST UPDATE GRADED A+ NP New Patient RX Perscription CC Chief Complaint EP Established Patient DX Diagnosis 6 Sections of CPT Medicine Surgery Raidiology Pathology Evaluation Anesthesiology What is a Modifier? Used to further explain service, treatment, diagnosis What does CPT stand for and what do CPT codes represent? Current Procedural Terminology Used to classify service or procedures How many digits does a CPT code contain? ...

Sample test- Medical billing and coding CBCS- Certified Billing and Coding Specialist CBCS Sample test- Medical billing and coding 2023 ( A+ GRADED 100% VERIFIED)

NCCT Medical Assisting Practice Exam with Complete Solutions| Verified Answers An established patient who has Chronic Obstructive Pulmonary Disease is evaluated in the medical office for hypertension. What is the importance of identifying the reason for today's visit related to billing? [Answer:- To determine the primary diagnosis For how many years should a provider store medical records (select the least number of years that maintains compliance with state and federal regulations)? [Answ...

NRNP 6675-15; NRNP 6675 Week 6 Midterm Exam 2022 100% solved -Graded A+   NRNP 6675-15; NRNP 6675 Week 6 Midterm Exam 2022 100% solved -Graded A+ 1. Which of the following are risk factors for neuroleptic malignant syndrome? Select all that apply Age Rapid dose escalation Parental route of administration Higher potency typical antipsychotics 2. Antipsychotic medications provide D2 blockade in the mesocortical pathway causing which of the following effects? Reduces negative symptoms Increases e...