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19 Cards in this Set
- Front
- Back
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The + symbol found before a code refers to which of the following in the CPT manual?
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Primary procedure requires an additional code
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An insurance specialist for a family practice needs to complete a claim form to get reimbursed for the provider's services. Which of the following should the billing and coding specialist complete?
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CMS-1500 claim form
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an insurance claims register facilitates which of the following ?
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follow up of insurance claims by date
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which of the following is the purpose of precertification?
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verification of benefits
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A woman in her third trimester of pregnancy presents to her providers office with a diagnosis of a sprained wrist notable swelling due to falling on a wet floor at a supermarket. The provider documented no relationship between the sprain and pregnancy. Which of the following accurately reflects the appropriate sequencing of ICD-9-CM codes?
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Sprained wrist, pregnancy, fall on the floor
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Which of the following actions should be taken when reviewing a delinquent claim?
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verify the age of the account
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A patient who is pregnant was admitted to the hospital with uncontrolled type 1 diabetes mellitus. The code 648.03, which indicates antepartum diabetes mellitus, is assigned to her. After reviewing the assignment, the billing and coding specialist should recognize that
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the diagnosis requires an additional code
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A provider is running a T3/T4 test. On which of the following anatomical sites and body system is the provider running the test?
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Thyroid and endocrine system
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all email correspondence to a third party payer containing patients protected health information should be
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encrypted
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A patient complains of frequent urination, constant thirst, and weight loss. A review of family history reveals the patients mother had diabetes mellitus. Which of the following lab tests should the provider use to rule out diabetes?
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GTT
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Which of the following plans requires providers to adhere to managed care provisions?
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Health maintenance organization plan
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A billing and coding specialist should adhere to legal and ethical means at the workplace to ensure
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the integrity of the preofession
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Which of the following is the correct term for tube in the urinary system that transports urine from the kidney?
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ureter
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Which of the following symptoms is associated with nocturia?
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excessive urination at night
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Which of the following describes Category III codes?
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emergency technology
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in managed care organizations, PPOs help control a patients insurance cost by
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offering low cost deductibles
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ambulatory surgery centers, home health care, and hospice organizations use the
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UB-04 claim form
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a patients employer has not submitted a premium payment. Which of the following claim statues should the provider receive from the third-party payer?
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pending
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in which of the following departments should a patient be seen for psoriasis?
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dermatology
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