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Billing and Coding Pretest 2022 COMPLETE SOLUTION

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107. Which of the following styles should a billing and coding specialist use to format a patient's date of birth on a CMS-1500 claim form? - ✔✔O MMDDYYYY 106. A Medicare provider submits a CMS- ... 1500 claim form that is rejected for payment. Which of the following should be a reason for the form's rejection? - ✔✔O Medical coverage was cancelled In which of the following locations should a billing and coding specialist find the contract information to appeal a claim? - ✔✔O Insurance company file A patient takes his medication as prescribed and experiences swollen lips. The billing and coding specialist should refer to which of the following sections of ICD-10-CM to identify the appropriate code? - ✔✔O Adverse effect A billing and coding specialist is reviewing a signed release of information form that does not have a date. Which of the following is correct regarding this release? - ✔✔O This release is not valid A patient's progress notes indicate that she is primigravida. Which of the following describes the patient's condition? - ✔✔O Pregnant for the first time A remittance advice states a denial of payment due to lack of preauthorization. Which of the following of actions should the billing and coding specialist take if the appendectomy was an emergency procedure? - ✔✔File an Appeal A clearinghouse rejects a claim that is missing the patient's date of birth. Which of the following actions should the billing and coding specialist take next? - ✔✔O Add the missing information and resubmit 74. Under the Health Insurance Portability and Accountability Act (HIPAA), which of the following scenarios requires patients authorization for the release of health information? - ✔✔O Using patient information for marketingAn omission clean claim from which of the following submission to a third party payer? blocks on the CMS-1500 claim form can prevent - ✔✔Diagnosis Which of the following procedures is an example of a code for removing cancer? - ✔✔O Excision of a fibrosarcoma O Aspiration of a breast cyst O Debridement of a pressure ulcer O Destruction of a benign lesion Which of the following medical terms is a procedure that is found on the fee schedule? - ✔✔Carpal tunnel syndrome O Laparoscopy O Endometriosis O Psoriasis On the CMS-1500 form, populating Block 6 with "Other" would indicate that the patient is the: - ✔✔O Insured O Guarantor O Dependent O Subscriber In the CPT-4 coding convention, the + is used to indicate which of the following? - ✔✔O An add-on code O A revised code O A resequenced code O A recycled CPT code The False Claims Act (FCA) was passed to penalize contractors who knowingly file false claims. Which of the following is considered a false claim? [Show More]

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