NHA -CBCS- Certified Billing and Coding Specialist Study Guide with Complete Solutions

The symbol "O" in the Current Procedural Terminology reference is used to indicate what? - ANSWER-Reinstated or recycled code In the anesthesia section of the CPT manual, what are considered qualifying circumstances? - ANSWER-Add-on codes As of April 1, 2014 what is the maximum number of diagnoses that can be reported on the CMS-1500 claim form before a further claim is required? - ANSWER-12 What is considered proper supportive documentation for reporting CPT and ICD codes for surgical procedures? - ANSWER-Operative report What action should be taken first when reviewing a delinquent claim? - ANSWER-Verify the age of the account A claim can be denied or rejected for which of the following reasons? - ANSWER-Block 24D contains the diagnosis code A coroner's autopsy is comprised of what examinations? - ANSWER-Gross Examination Medigap coverage is offered to Medicare beneficiaries by whom? - ANSWER-Private third-party payers What part of Medicare covers prescriptions? - ANSWER-Part C What plane divides the body into left and right? - ANSWER-Sagittal Where can unlisted codes be found in the CPT manual? - ANSWER-Guidelines prior to each section Ambulatory surgery centers, home health care, and hospice organizations use which form to submit claims? - ANSWER-UB-04 Claim Form What color format is acceptable on the CMS-1500 claim form? - ANSWER-Red Who is responsible to pay the deductible? - ANSWER-Patient A patient's health plan is referred to as the "payer of last resort." What is the name of that health plan? - ANSWER-Medicaid