NHA CBCS: NHA: Certified Billing and Coding Specialist (CBCS) Study Guide: Questions & Answers: Updated A+ Score Guide Solution

Where does the NPI number go on the CMS-1500 form? (Ans- 17b What are two pieces of information that need to be collected from patients? (Ans- Full name and date of birth. Deductible (Ans- The amount of money a patient m just pays out of pocket before the insurance company will start to pay for covered benefits. Coinsurance (Ans- the pre-established percentage of expenses paid by the insurance company after the deductible has been met. Copayment (Ans- A fixed dollar amount that must be paid each time a patient visits a provider. Medicare Part A (Ans- Provides hospitalization insurance to eligible individuals.Medicare Part B (Ans- Voluntary supplemental medical insurance to help pay for physicians' and other medical professionals' services, medical services, and medical-surgical supplies not covered by Medicare Part A. Medicare Advantage (MA) (Ans- Combined package of benefits under Medicare Parts A and B that may offer extra coverage for services such as vision, hearing, dental, health and wellness, or prescription drug coverage. Medicare Part D (Ans- A run by private insurance companies and other vendors approved by Medicare. Medigap (Ans- A private health insurance that pays for most of the charges not covered by Parts A and B. What are the three major kinds of government insurance plans? (Ans- Medicare, Medicaid, and State Children's Health Insurance Program (SCHIP) Referral (Ans- Written recommendation to a specialist.Precertification (Ans- A review that looks at whether the procedure could be performed safely but less expensively in an out patient setting