NHA Billing and Coding Specialist
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CBCS Part 1 NHA Billing and Coding Practice Tes... VA Life & Health
101 terms Teacher 101 terms 30 terms
schork018 Preview quizlette18546469 Preview stephanietglenn
Billing and coding specialist is Resubmit and updated claim.
reviewing a report from the
clearinghouse after submitting
electronic claims and notices
one claim was rejected due to
missing demographic info. which
of the following actions should
the specialist take?
A Billing and coding specialist is Resubmit an updated claim
reviewing a report from the
clearinghouse after submitting
electronic claims and notices
that one claim was rejected due
to missing demographic info.
Which of the following actions
should the specialist take?
A billing and coding specialist is The claim indicated an incorrect place of service.
reviewing a remittance advice
from medicare and notices that
the amount paid for a procedure
is less that the contracted
amount. Which of the following
is a potential reason for the
reduced amount of payment?
A billing and coding specialist is Dates of Coverage.
collecting demographic
information from a patient.
Which of the following pieces of
information should the specialist
expect the Medicaid eligibility
verification system (MEVS) to
provide?
, Which of the following is the To verify that the medical records and the billing record match.
purpose of an internal review in
a provider's office?
A claim is submitted with a Invalid
transposed insurance member
ID number and returned to the
provider. Which of the following
describes the status that will be
assigned to the claim by the 3rd
party payer?
A billing and coding specialist is -25
reviewing a claim for a patient
who presented to the provider's
office for an upper respiratory
infection. During the encounter,
the patient also received the
influenza vaccine. Which
modifier should be attached to
the (E/M) code?
Which of the following is a Valid Code signs and symptoms in the absence of a definitive
ICD-10-CM principle? diagnosis.
Which of the following entities Clearinghouses, health insurance companies, and billing
are required to follow HIPAA services.
rules and regulations?
Which of the following A product pending FDA approval is indicated by a lightening bolt
information is correct code symbol.
symbols in CPT manual?
A billing and coding specialist A bilateral procedure.
should add modifier -50 to a
code when reporting which of
the following?
An explanation of benefits $40
states the amount billed was
$80. The allowed amount is $60,
and the patient is required to
pay $20 copayment. Which of
the following describes the
insurance check amount to be
posted?
A billing and coding specialist is Incorrectly linked codes were reported on the claim.
reviewing a remittance advice
and encounter's a denial of
payment for CPT code 44950
(appendectomy). The specialist
discovers the ICD-10-CM code
assigned to the claim was J32.1
(chronic frontal sinusitis). which
of the following is the reason for
this claim denial?
Save
Students also studied
Flashcard sets Study guides
CBCS Part 1 NHA Billing and Coding Practice Tes... VA Life & Health
101 terms Teacher 101 terms 30 terms
schork018 Preview quizlette18546469 Preview stephanietglenn
Billing and coding specialist is Resubmit and updated claim.
reviewing a report from the
clearinghouse after submitting
electronic claims and notices
one claim was rejected due to
missing demographic info. which
of the following actions should
the specialist take?
A Billing and coding specialist is Resubmit an updated claim
reviewing a report from the
clearinghouse after submitting
electronic claims and notices
that one claim was rejected due
to missing demographic info.
Which of the following actions
should the specialist take?
A billing and coding specialist is The claim indicated an incorrect place of service.
reviewing a remittance advice
from medicare and notices that
the amount paid for a procedure
is less that the contracted
amount. Which of the following
is a potential reason for the
reduced amount of payment?
A billing and coding specialist is Dates of Coverage.
collecting demographic
information from a patient.
Which of the following pieces of
information should the specialist
expect the Medicaid eligibility
verification system (MEVS) to
provide?
, Which of the following is the To verify that the medical records and the billing record match.
purpose of an internal review in
a provider's office?
A claim is submitted with a Invalid
transposed insurance member
ID number and returned to the
provider. Which of the following
describes the status that will be
assigned to the claim by the 3rd
party payer?
A billing and coding specialist is -25
reviewing a claim for a patient
who presented to the provider's
office for an upper respiratory
infection. During the encounter,
the patient also received the
influenza vaccine. Which
modifier should be attached to
the (E/M) code?
Which of the following is a Valid Code signs and symptoms in the absence of a definitive
ICD-10-CM principle? diagnosis.
Which of the following entities Clearinghouses, health insurance companies, and billing
are required to follow HIPAA services.
rules and regulations?
Which of the following A product pending FDA approval is indicated by a lightening bolt
information is correct code symbol.
symbols in CPT manual?
A billing and coding specialist A bilateral procedure.
should add modifier -50 to a
code when reporting which of
the following?
An explanation of benefits $40
states the amount billed was
$80. The allowed amount is $60,
and the patient is required to
pay $20 copayment. Which of
the following describes the
insurance check amount to be
posted?
A billing and coding specialist is Incorrectly linked codes were reported on the claim.
reviewing a remittance advice
and encounter's a denial of
payment for CPT code 44950
(appendectomy). The specialist
discovers the ICD-10-CM code
assigned to the claim was J32.1
(chronic frontal sinusitis). which
of the following is the reason for
this claim denial?
