STUDY GUIDE (CERTIFIED MEDICAL
CODING AND BILLING
SPECIALIST)CORRECT 100%
UB04 form is used for - ANSWERHospice, Ambulatory Surgery Centers, Home Health
Care
patient confidentiality - ANSWERtreating patient's medical information as private and
not for publication
signing an Acknowledgement of Notice of Privacy Practice is accepting what -
ANSWERHIPAA
form to authorize sharing of medical information - ANSWERmedical release form
standard form used for medical billing - ANSWERCMS-1500
must appear on CMS 1500 form prior to submission - ANSWERbirth date in 8 digit
format, all caps
encounter form - ANSWERfinancial 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 - ANSWERadjustment column
10 digit numeric identifier required in box 33A of CMS 1500 - ANSWERNational
Provider Identifier (NPI)
CLIA - Clinical Laboratory Improvement Act - ANSWERquality standards for lab tests
most common reason for claim rejection - ANSWERincorrect or incomplete information
dependents of military personnel - ANSWERrequired to have military ID for TriCare
insurance
used as first-listed diagnosis to indicate family history - ANSWERV-Code
diagnostic category code - ANSWERthree digit code that covers a single disease or
relative condition
standard medical code sets - ANSWERICD-9-CM, HCPCS, CPT, HCPCS Level II
CODING AND BILLING
SPECIALIST)CORRECT 100%
UB04 form is used for - ANSWERHospice, Ambulatory Surgery Centers, Home Health
Care
patient confidentiality - ANSWERtreating patient's medical information as private and
not for publication
signing an Acknowledgement of Notice of Privacy Practice is accepting what -
ANSWERHIPAA
form to authorize sharing of medical information - ANSWERmedical release form
standard form used for medical billing - ANSWERCMS-1500
must appear on CMS 1500 form prior to submission - ANSWERbirth date in 8 digit
format, all caps
encounter form - ANSWERfinancial 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 - ANSWERadjustment column
10 digit numeric identifier required in box 33A of CMS 1500 - ANSWERNational
Provider Identifier (NPI)
CLIA - Clinical Laboratory Improvement Act - ANSWERquality standards for lab tests
most common reason for claim rejection - ANSWERincorrect or incomplete information
dependents of military personnel - ANSWERrequired to have military ID for TriCare
insurance
used as first-listed diagnosis to indicate family history - ANSWERV-Code
diagnostic category code - ANSWERthree digit code that covers a single disease or
relative condition
standard medical code sets - ANSWERICD-9-CM, HCPCS, CPT, HCPCS Level II
