Cms 1500 form Study guides, Class notes & Summaries

Joe and Mary are a married couple and both carry insurance from their employers. Joe was born on February 23, 1977 and Mary was born on April 4, 1974. Using the birthday rule, who carries the primary insurance for their children for billing? A. Joe, because he is the male head of the household. B. Mary, because her date of birth is the 4th and Joe's date of birth is the 23rd. C. Mary, because her birth year is before Joe's birth year. D. Joe, because his birth month and day are before Mary...

Which of the following cell structures is the source of energy for a cell? - correct answer mitochondria A medical assistant is testing a patients visual acuity using a snellen chart. Which of the following actions should the assistant take? - correct answer Make sure the patient does not lean forward during the test Which of the following items included on the CMS-1500 claim form should a medical assistant recognize as indicating the medical necessity of a procedure? - correct answer Diag...

HCFA stands for : - Health Care Financing Administration The HCFA-1500 paper health insurance form was developed in______ by ________________ : - 1975; Health Care Financing Administration (HCFA) The HCFA claim form was developed to be used by providers for what purpose? - Billing Medicare for outpatient services HCFA changed its name to what in July of 2001? - Center for Medicare and Medicaid Services (CMS) HCFA-1500 claim form was changed to this in July of 2001 : - CMS-1500 Universal C...

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...

3-Day Rule - ANSWER a requirement that all diagnostic or outpatient services furnished in connection with the principle admitting diagnosis within three days prior to the hospital admission are bundled with the inpatient services for Medicare billing 837I - ANSWER the American National Standards Institute transaction for an institutional claim; as a result of HIPAA, it is replacing the electronic UB-04. 837P - ANSWER a former American National Standards Institute transaction for a professi...

Joe and Mary are a married couple and both carry insurance from their employers. Joe was born on February 23, 1977 and Mary was born on April 4, 1974. Using the birthday rule, who carries the primary insurance for their children for billing? A. Joe, because he is the male head of the household. B. Mary, because her date of birth is the 4th and Joe's date of birth is the 23rd. C. Mary, because her birth year is before Joe's birth year. D. Joe, because his birth month and day are before...

NHA Billing and Coding practice test (CBCS) questions & answers 2023/2024 The attending physician - ANSWERSA nurse is reviewing a patients lab results prior to discharge and discovers an elevated glucose level. Which of the following health care providers should be altered before the nurse can proceed with discharge planning? The patients condition and the providers information - ANSWERSOn the CMS-1500 Claims for, blocks 14 through 33 contain information about which of the following? ...

(ASCA) The Administrative simplification compliance act - requires that claims to medicare be transmitted electronically, unless clearinghouse is being used by a provider to submit claims a draft may be completed on paper (ASCA) - The Administrative simplification compliance act (NUCC) - National Uniform Claim Committee (NUCC) National Uniform Claim Committee - Organization that maintains the CMS-1500 form any new version would have to be approved by the White House Office Management and B...

National Coverage Determination (NCD) - Which of the following Medicare policies determines if a particular item or service is covered by Medicare? Adjudication - Which of the following is considered the final determination of the issues involving settlement of an insurance claim? Encounter Form - A form that contains charges, DOS, CPT codes, ICD codes, fees and copayment information Admitting clerk - A patient comes to the hospital for an inpatient procedure. Which of the following hospi...

NHA - Certified Billing and Coding Specialist (CBCS) Study Guide 1. Symbol "O" in CPT Reference The symbol "O" in the Current Procedural Terminology reference is used to indicate what? Reinstated or recycled code. --- 2. Qualifying Circumstances in Anesthesia Section In the anesthesia section of the CPT manual, what are considered qualifying circumstances? Add-on codes. --- 3. Maximum Diagnoses on CMS-1500 Form As of April 1, 2014, what is the maximum number of ...