PM
NHA CBCS EXAM FLASHCARDS EXAM QUESTIONS AND
ANSWERS WITH COMPLETE SOLUTIONS VERIFIED LATEST
UPDATE
5.0 (5 reviews)
Save
Terms in this set (53)
CO - CONTRACTUAL OBLIGATION
CR - CORRECTION AND RENEWAL
What do the group codes CO, CR, OA, PR
OA - OTHER ADJUSTMENT
PR - PATIENT RESPONSIBILITY
The department of ________________________________ refers Internal/Family Medicine
patients to a specialty department for
further treatment
Define prefix Hypo- Below, deficient
A review that looks at whether the procedure could be performed safely but less
What is a precertification?
expensively in an outpatient setting.
What are Category I CPT Codes? Physician services and hospital outpatient coding
Aging Reports are maintained in ________ 30 day
increments
A - Hospitalization/Inpatient
Explain the parts of Medicare A, B, C, and B - Outpatient/Physician/Professional Services
D C - Medicare Advantage Plans
D - Drug Coverage
What does Block 13 on the CMS 1500 The signature of the patient authorizing the payment of benefits to the
claim form indicate? provider/supplier
What does Coordination of Benefits Determines which insurance plan is primary and which is secondary
mean?
What does the Fair Debt Collection Use unfair or abusive practices to collect a debt
Practices Act say debt collectors
can't do?
a specified amount of money that the insured must pay before an insurance
What is a deductible?
company will pay a claim
What is the difference between Medial Medial - Middle of the body
and Lateral? Lateral - To the side
What is PHI? Protected Health Information
1/
3