Medical Billing and Coding Guides d'étude, Notes de cours & Résumés
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Medical Billing and Coding Questions and Answers Already Passed
- Examen • 11 pages • 2024
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Medical Billing and Coding Questions 
and Answers Already Passed 
 
Which of the following is an example of health insurance abuse? Performing more tests than 
are necessary. 
 
A durable power of attorney (POA) must be a blood relative of the patient. False 
 
Under the HIPAA Privacy Rule, what does "minimum necessary" mean? Disclose only what 
is necessary for the intended purpose. 
 
What's the term for the document that states which medical treatments you want and don't want 
if you're ...
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Medical Billing Terminology Latest Update Graded A+
- Examen • 6 pages • 2024
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Medical Billing Terminology Latest 
 
Update Graded A+ 
 
72 Hour rule Hospital coding rule for Medicare beneficiaries that allows outpatient services 
performed within 72 hours of an inpatient admission to be reported on the claim as part of the 
inpatient stay so long as the services are related to the inpatient stay; also known as the three-day 
window rule. 
 
Accounts Receivable (AR) Accounts Receivable is the total of all balances owed by patients 
or insurance companies regardless of deli...
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Medical Billing and Coding Questions and Answers Already Passed
- Examen • 6 pages • 2024
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Medical Billing and Coding Questions 
and Answers Already Passed 
 
What patient information will you need to obtain to file and insurance claim. Insured's 
complete name, Insured's current employer, Patient's date of birth. 
 
Identify the information included in blocks 1 through 13 of the CMS-1500. Information 
about the patient and the patient's insurance coverage? 
 
Identify the information included in blocks 14 through 33 of the CMS-1500? The diagnoses, 
procedures, and charges. Inform...
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Medical Billing and Coding Final Exam Questions and Answers 100% Pass
- Examen • 12 pages • 2024
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Medical Billing and Coding Final Exam 
Questions and Answers 100% Pass 
 
Which of the following is a reason for why the field of medical billing and coding is in high 
demand? An aging population will use more healthcare services to manage a multitude of 
chronic diseases. 
 
What is the process of reporting diagnoses and procedures/services as numeric and alphanumeric 
characters on the insurance claim? Medical coding 
 
What is the two-way, real time video visit between the patient and the ph...
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Medical Billing Questions and Answers Already Passed
- Examen • 32 pages • 2024
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Medical Billing Questions and Answers 
 
Already Passed 
 
1. Administrative medical office responsibilities include Claims submissions 
 
2. A claims assistant professional Works for the consumer and helps patients file insurance 
claims 
 
3. The amount of money an insurance billing specialist earns is dependent on which of the 
following factors Knowledge,experience, and size of employing institution 
 
4. A billing specialist is entrusted with Holding patient's medical information in confid...
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Medical Billing and Coding Test 1 with Complete Solutions
- Examen • 9 pages • 2024
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Medical Billing and Coding Test 1 with 
 
Complete Solutions 
 
ICD-10-CM is mandated code set for diagnosis under the HIPPA: transaction and code sets 
 
A code in ICD-10-CM has up to how many characters? Seven 
 
An ICD-10-CM category code has how many characters? Three 
 
A subcategory code in ICD-10-CM has how many characters? Four 
 
An example of subcategory code: S81.2 
 
The correct code set to be used is according to the CMS is based on what? Date of service 
 
The first step to begin c...
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Medical Billing and Coding Chapter 1 Latest Update 100% Correct
- Examen • 4 pages • 2024
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Medical Billing and Coding Chapter 1 
Latest Update 100% Correct 
 
Manged Care a system in which healthcare is monitored. Health care provider contract with 
a health insurance company. 
 
What percentage does physicians and nurses make up? 40% of all healthcare providers 
 
Solo/private facilities The receptionist and medical biller are often cross-trained. Staff may 
consist of nurse, receptionist and a medical biller and/or office manger. 
 
small group practice four or five general practiti...
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Medical Billing and Coding Practice Test with Complete Solutions
- Examen • 43 pages • 2024
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Medical Billing and Coding Practice Test 
 
with Complete Solutions 
 
Which of the following Medicare policies determines if a particular item or service is covered by 
Medicare? National Coverage Determination (NCD) 
 
Which of the following is considered the final determination of the issues involving settlement of 
an insurance claim? Adjudication 
 
A form that contains charges, DOS, CPT codes, ICD codes, fees and copayment information 
Encounter Form 
 
A patient comes to the hospital for ...
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Medical Billing and Coding Chapter 7 Latest 2024 Graded A+
- Examen • 7 pages • 2024
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Medical Billing and Coding Chapter 7 
 
Latest 2024 Graded A+ 
 
CMS 100 - paper claim submitted to TPP for reinbursement ( paper claim ) 
 
HIPPA x12 837 - electronic form used to send a claim ( HIPPA 837 P claim (electronic) 
 
HIPPA requires electronic transmission of claims by all providers with _________ employees. 
10 or more 
 
National Uniform Claim Commitee (NUCC) - organization responsible for claim content 
 
CMS - 1500 (02/12) -revised- current paper claim approved by the NUCC 
 
501...
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Medical Billing and Coding Latest Update 100% Pass
- Examen • 5 pages • 2024
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Medical Billing and Coding Latest 
 
Update 100% Pass 
 
code linkage connection between a service and a patient's condition or illness 
 
correct coding initiative (CCI) computerized Medicare system that prevents overpayment 
 
edits computerized system that identifies improper or incorrect codes 
 
CC1 column 1/ column 2 code pair edit Medicare code edit where CPT codes in column 2 
will not be paid if reported in the same way as the column 1 code 
 
CCI mutually exclusive code (MEC) edit Bot...