QUESTIONS | WITH COMPLETE
SOLUTIONS!!
used to indicate which of the following?
-New Code
-Moderate sedation
, Procedure descriptors Guidelines prior to each section
Consent agreement Reinstated or recycled code
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Term
Which of the following terms describes when a plan pays 70% of the
allowed amount and the patient pays 30%
-Coinsurance
-Deductible
-Premium
-Copayment
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Coordination of benefits Coinsurance
Block 24D Assignment of benefits
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Term
,CMS-1500 Block 24J
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A claim form The model provider
The rendering provider The destination provider
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Term
CMS-1500 Block 2
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The patient's condition and the
The patient's authorization
provider's information
The patient's name Why the event occurred
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Definition
, describes a blockage of the urethra
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Urethratresia Nephrectomy
Fraud Urethralgia
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Term
Which of the following actions should be taken if an insurance
company denies a service as not medically necessary?
-Send the patient a copy of the remittance advice
-Appeal the decision with a provider's report
-Submit a claim to the patient's secondary insurance
-Call the patient to confirm eligibility
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Appeal the decision with a Inform the patient of the reason for
provider's report the denial
Submit an appeal to the carrier with
The claim is overdue for payment
the supporting documentation.