ANSWERS
The cpatient cowes c$25.00 cfor cthe cvisit. cThe camount ccollected cfor cthe coffice cvisit cis ccalled cwha
cANS✔✔Copayment
The cinsurance ccarrier crate cis c80% cthe cremaining c20% cis ccalled cwhat? c- cCORRECT cANS✔✔C
A cthird cparty cpayer cmade can cerror cwhen cadjudicating ca cclaim cwhich cof cthe cfollowing cshould c
cCORRECT cANS✔✔resubmit cthe cclaim cwith can cattachment cexplaining cthe cerror
A cclaim csubmitted cwith call cthe cnecessary cand caccurate cinformation cso cthat cit ccan cbe cprocess
cCORRECT cANS✔✔A cclean cclaim
A cmedicare cpatient cpresents cto can cout cpatient chospital cfacility cfor ca chysterectomy. cTo cwhich c
cbilled? c- cCORRECT cANS✔✔Part cB
The camount cof cthe cbill cis c$100 cand cthis camount cmust cbe cpaid cbefore cthe cinsurance ccompan
cWhich cof cthe cfollowing cis cthis ccalled? c- cCORRECT cANS✔✔Deductible
When cthere cis ca cprofessional ccourtesy cawarded cto ca cpatient's caccount cthe cinsurance cspeciali
cunder cwhat ccolumn? c- cCORRECT cANS✔✔Adjustment ccolumn
When cthe cpatient ccalls cto cinquire cabout can caccount cwhich cof cthe cfollowing cdoes cthe cinsuranc
cto cask cfor cbefore cdiscussing cthe caccount? cChoose c3 ccorrect canswers. c- cCORRECT cANS✔✔
cpatient's cdate cof cbirth, cpatient's cname
When ca ccapitation caccount cis capplied cto ca cledger cit cis calso cknow cas cwhat? c- cCORRECT cAN
camount
, The cmost ceffective cmethod cto cmanage cstatements cand cother cfinancial cinvoices cas cwell cas cav
cwhat? c- cCORRECT cANS✔✔Collect cfees cat cthe ctime cof cservice
Based con cthe cCMS c1500 cmanual csystem, cwhen cupdating cor cmaintaining cthe cbilling ccode cdata
cdoes cthe cR cdenote? c- cCORRECT cANS✔✔Revised
An cinsurance cand ccoding cspecialist cis creviewing ca cpatient's cencounter cform cthat cis cdocumente
cto ccompleting ca cCMS-1500 cform cshe cnotices cthe cphysician cup-coded cthe cencounter cform. cTh
cobligation cto cfirst? c- cCORRECT cANS✔✔Query cthe cphysician
HIPPA callows ca chealthcare cprovider cto ccommunicate cwith ca cpatient's cfamily, cfriend, cor cother cp
cthe cpatient's ccare cregarding ctheir cmental chealth cstatus cproviding cthe cpatient cdoes cwhat? c- cCO
cobject
Claims care coften crejected cbecause ca cprovider cneeds cto cobtain cwhat? c- cCORRECT cANS✔✔P
When cusing can cElectronic cHealth cRecord c(EHR) csystem cto center ccpt ccodes con ca cCMS-1500
csubmission cwhich cof cthe cfollowing cshould cbe centered con cthe cclaim cform cfirst? c- cCORRECT cA
intensive cprocedure cor cservice
The cFair cand cDebt ccollection cAct crestricts cdebt ccollectors cfrom cengaging cin cconduct cthat cinclu
cANS✔✔Calling cbefore c8:00am cor cafter c9:00pm, cunless cgiven cpermission
Which cof cthe cfollowing cinformation cis cneeded cto cdetermine ca cMedicaid csliding cfee cscale? ccho
cCORRECT cANS✔✔Poverty, csalary, cand cnumber cof cdepedents
The cpatient cpresents ctoday cfor cupper cgastroinstestinal c(GI) cendoscopy cand ca cbiopsy cof cthe cs
ccodes cshould cbe cassigned? c- cCORRECT cANS✔✔43239 cDigestive cEsophagogastroduodenosc
When cposting can cinsurance cpayment cvia cEOB cthe camount cthat cis ccovered ccontractually cis ckn
cpayment? c- cCORRECT cANS✔✔Allowed cAmount
Encounter cforms cshould cbe caudited cto censure cwhat? c- cCORRECT cANS✔✔the cdiagnosis ccode
cformat
A cmedicare cpatient chas can c80/20 cplan cthe ccharged camount cwas c$300. cThe callowed camount c
cfollowing cis cthe cpatient's ccoinsurance? c- cCORRECT cANS✔✔$20
Which cof cthe cfollowing cis cthe ccorrect ccpt ccode cfor cMedialstinal cand cregional clymphadenectom
cthoracic c(VATS) clobectomy? c- cCORRECT cANS✔✔32663-RT, c32674 cSurgery cRespiratory cVide
clung) clobectomy
The cpatient copted cto chave ca ctubal cligation cperformed cwhich cof cthe cfollowing cis cneeded cin cord
ccover cthe cprocedure? c- cCORRECT cANS✔✔Precertification
Which cof cfollowing cform cprovides cinformation cfrom cthe cManaged cCare cOrganization( cMCO) cth
cCORRECT cANS✔✔Explanation cof cBenefits c(EOB)
The cpatient cpresented cwith cthree clacerations, cthe cphysician cperformed cthe cfollowing ca csimple
cof cthe cscalp cand csimple crepair cof ca c2.5 ccm claceration cof cthe chand. cWhat cis cthe cappropriate
cANS✔✔12002 csimple crepair cof csuperficial cwounds cof cscalp, cneck c, caxillae, cexternal cgenitalia,
c(including chands cand cfeet)
A c45 cyear cold cpatient cwith cESRD creceives ca cunilateral ccadaver ckidney ctransplant c. cThe csurge
cin caddition cto cthe ctransplant. cWhich cof cthe cfollowing ccpt ccodes cshould cbe cassigned? c- cCORR