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NHA CBCS EXAM QUESTIONS AND ANSWRS WITH
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An appointment system that has some fixed appointments and some
appointment times during which patients are seen in order of arrival.
Select the correct term
1Modified wave scheduling 2Medicare Summary Notice (MSN)
3modifier -50 4Medicare Part A
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Terms in this set (73)
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, 4/12/25, 8:23 NHA CBCS Flashcards |
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contract in which the provider directly bills the
Assignment of benefits payer and accepts allowable charge
A summary sent to the patient from Medicare
Medicare Summary
that summarizes all services provided over a
Notice (MSN)
period of time with an explanation of benefits
provided
notice sent by the insurance company that
Remittance Advice
contains payment information about a claim; the
report sent from the third-party payer to the
provider that
Coordination of Benefits
reflects any changes made to the original billing
(COB)
the provision of an insurance contract that limits
benefits to 100% of the cost
determines which insurance plans are primary
COB Rules and which are secondary
Organization other than a patient who pays for
Third-party payer services, such as insurance companies,
Medicare, and Medicaid.
describes the services rendered, payment covered,
explantion of benefits and benefit limits and denials
Claim submitted by people covered by a primary
crossover claim and secondary insurance plan.
Provides hospitalization insurance to eligible
Medicare Part A individuals.
outpatient and office visits
voluntary supplemental medical insurance to help
Medicare Part B pay for physicians' and other medical professionals'
services, medical services, and medical-surgical
supplies not covered by part A
Medicare Advantage Plans; combined package of
Medicare Part C benefits under Medicare Parts A and B that may
offer extra coverage for services such as vision,
hearing, dental, health and wellness
Medicare Part D Prescription drug coverage
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