NHA Billing and Coding Practice Test Revised Questions and Answers / Sure A+
1. A billing and coding specialist discovers suspicious activity that may be fraudulent in the workplace. Which of the following actions should the specialist take? - a. Call the U.S. Department of Health and Human Services' (DHHS) anonymous hotline. 1. A billing and coding specialist discovers that one private payer has not reimbursed the provider for any claims submitted in the past year. Clean claims have been submitted to the payer and have been acknowledged. Which of the following entities should the specialist contact to report the payer's failure to submit timely reimbursement? - a. State Insurance Commissioner's office 1. A billing and coding specialist identifies a CPT code that is routinely being denied by a third-party payer. Which of the following types of review should the specialist preform? - a. Retrospective review 1. A billing and coding specialist is arranging a payment plan with a patient who wants to leave to post dated checks with the office. The patients proposes leaving one check post dated for 3 months, one for 4 months, and one for 5 months in the future. According to the federal collection law, which of the following actions should the specialist take? - a. Notify the patient between 3 and 10 days prior to depositing each check on the indicated dated
Información del documento
- Subido en
- 10 de junio de 2024
- Número de páginas
- 11
- Escrito en
- 2023/2024
- Tipo
- Examen
- Contiene
- Preguntas y respuestas
