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Medical Billing Questions and Answers Already Passed
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Medical Billing Questions and Answers 
 
Already Passed 
 
1. Administrative medical office responsibilities include Claims submissions 
 
2. A claims assistant professional Works for the consumer and helps patients file insurance 
claims 
 
3. The amount of money an insurance billing specialist earns is dependent on which of the 
following factors Knowledge,experience, and size of employing institution 
 
4. A billing specialist is entrusted with Holding patient's medical information in confid...
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Medical Billing and Coding Test 1 with Complete Solutions
- Exam (elaborations) • 9 pages • 2024
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Medical Billing and Coding Test 1 with 
 
Complete Solutions 
 
ICD-10-CM is mandated code set for diagnosis under the HIPPA: transaction and code sets 
 
A code in ICD-10-CM has up to how many characters? Seven 
 
An ICD-10-CM category code has how many characters? Three 
 
A subcategory code in ICD-10-CM has how many characters? Four 
 
An example of subcategory code: S81.2 
 
The correct code set to be used is according to the CMS is based on what? Date of service 
 
The first step to begin c...
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Medical Billing and Coding Chapter 1 Latest Update 100% Correct
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Medical Billing and Coding Chapter 1 
Latest Update 100% Correct 
 
Manged Care a system in which healthcare is monitored. Health care provider contract with 
a health insurance company. 
 
What percentage does physicians and nurses make up? 40% of all healthcare providers 
 
Solo/private facilities The receptionist and medical biller are often cross-trained. Staff may 
consist of nurse, receptionist and a medical biller and/or office manger. 
 
small group practice four or five general practiti...
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Medical Billing and Coding Practice Test with Complete Solutions
- Exam (elaborations) • 43 pages • 2024
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Medical Billing and Coding Practice Test 
 
with Complete Solutions 
 
Which of the following Medicare policies determines if a particular item or service is covered by 
Medicare? National Coverage Determination (NCD) 
 
Which of the following is considered the final determination of the issues involving settlement of 
an insurance claim? Adjudication 
 
A form that contains charges, DOS, CPT codes, ICD codes, fees and copayment information 
Encounter Form 
 
A patient comes to the hospital for ...
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Medical Billing and Coding Chapter 7 Latest 2024 Graded A+
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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...
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Medical Billing and Coding Latest Update 100% Pass
- Exam (elaborations) • 5 pages • 2024
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Medical Billing and Coding Latest 
 
Update 100% Pass 
 
code linkage connection between a service and a patient's condition or illness 
 
correct coding initiative (CCI) computerized Medicare system that prevents overpayment 
 
edits computerized system that identifies improper or incorrect codes 
 
CC1 column 1/ column 2 code pair edit Medicare code edit where CPT codes in column 2 
will not be paid if reported in the same way as the column 1 code 
 
CCI mutually exclusive code (MEC) edit Bot...
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MEDICAL BILLING AND CODING LATEST UPDATE GRADED A+
- Exam (elaborations) • 14 pages • 2024
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MEDICAL BILLING AND CODING 
LATEST UPDATE GRADED A+ 
 
NP New Patient 
 
RX Perscription 
 
CC Chief Complaint 
 
EP Established Patient 
 
DX Diagnosis 
 
6 Sections of CPT Medicine 
 
Surgery 
Raidiology 
Pathology 
Evaluation 
 
Anesthesiology 
 
What is a Modifier? Used to further explain service, treatment, diagnosis 
 
What does CPT stand for and what do CPT codes represent? Current Procedural 
Terminology 
Used to classify service or procedures 
 
How many digits does a CPT code contain? ...
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Medical Billing and Coding Chapter 1 with Complete Solutions
- Exam (elaborations) • 3 pages • 2024
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Medical Billing and Coding Chapter 1 
 
with Complete Solutions 
 
Managed Care Used to describe a system in which healthcare delivery is monitored. Under 
manages care a healthcare provider will contract with a health insurance company. In this 
contract the provider agrees to follow guidelines with the aim to control healthcare costs. 
 
3 Categories of a Physician's Practice 1. Solo/Private Practice 
2. Small Group (3-9 physicians) 
3. Large Group (10 or more physicians) 
 
Patient Account S...
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Medical Billing and Coding Lesson 1: Reimbursement, HIPAA, and Compliance Already Passed
- Exam (elaborations) • 18 pages • 2024
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Medical Billing and Coding Lesson 1: 
Reimbursement, HIPAA, and Compliance 
 
Already Passed 
 
The Medical Coder's Responsibility 
Each coding system plays a critical role in reimbursement. The role of the medical coder is to 
optimize payment while adhering to coding guidelines. The coder must accurately code the 
services, procedures, and diagnosis rendered so that the office is properly reimbursed. Coders 
may encounter ethical issues about upcoding a procedure or changing a diagnosis to ob...
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Medical Billing and Coding Certificate Exam 2024 Graded A+!!
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Medical Billing and Coding Certificate Exam 2024 Graded A+!!
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