CPB Certified Professional Biller Certification
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Current Procedural Terminology (CPT)
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Which coding systerm is used to
1 Accounts Receivable Aging Report report professional services to
payers?
3 EFT 4 Advance Beneficiary Notice (ABN)
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Terms in this set (250)
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, 11/13/24, 10:56 AM CPB Certified Professional Biller Certification |2024-2025 newest |COMPLETE QUESTIONS AND VERIFIED SOLUTIONS (f…
Actions inconsistent with accepted, sound medical
Abuse
business or fiscal practice
Provider accepts as payment in full whatever is paid
Accept Assignment on the cliam by the payer (except for any
copayment and or coinsurance amounts.)
The amount owed to a business for services or
Accounts Receivable
goods provided.
Shows the status (by date) of outstanding claims
Accounts Receivable
from each payer, as well as payments due from
Aging Report
patients.
Assists Providers in the collection of appropriate
Accounts Receivable reimbursement for services rendered; include
Management functions such as insurance verification/eligibility
and preauthorization of services.
Voluntary Process that a healthcare facility or
organization (e.g. hospital or manged care plan)
Accreditation
undergoes to demonstarte that it has met standards
beyond those required by law.
Judicial dispuite resolution process in which an
Adjudication
appeals board makes a final determination.
payment correction resulting in additional
Adjusted Claim
payment(s) to the provider.
Advance Beneficiary Document that acknowledges patient responsiblity
Notice (ABN) for payment if Medicare denies the cliam.
Also called adverse reaction; the appearance of a
pathologic condition due to ingestion r exposure to
Adverse Effect
a chemical substance properly administered or
taken.
Also called adverse effect; the appearance of a
pathologic condition due to ingestion r exposure to
Adverse Reaction
a chemical substance properly administered or
taken.
Covering members who are sicker then the general
Adverse Selection
population.
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