Author: Anonymous

TRUE OR FALSE: The National Provider Identifier (NPI) is a unique 10-digit number issued to individual providers and health care organizations

Which form is considered the financial source document?

Wild and crazy Wanda’s health insurance policy number (found on Wanda’s health insurance ID card) reflects: 39-03-9999-SUB; When entering Wanda’s policy number on the claim, it should look like:

Providers can bill BCBS up to a ____ window from the date services were rendered

When coding physician office and outpatient claims, always report a code for

When entering Dr. Derek McDreamy’s name on the CMS-1500 form, it should look like:

Scenario: Bad Apple Alfred was seen in the Emergency Department after falling out of his treehouse. Alfred complained of neck and back pain. Alfred was evaluated by the Emergency Room Physician and the following service was ordered: ct of the head. Alfred also complained of a headache and the Emergency Room Physician ordered 800mg of Ibuprofen P.O.; The medication was documented as adminstered by the ER Nurse. When billin g for the Emergency Room Physiciain, what procedure(s)would be reported on the CMS-1500 form? (Check ALL that apply)

Which components constitute the RBRVS payment system? (Check ALL that apply)

When a patient has 2 health insurance policies and they are issued by the SAME insurance company, how many CMS-1500 forms should be submitted?

_________ is a federally funded health program, established in 1965, to assist with the medical care costs of Americans 65 years of age and older as well as other individuals entitled to Social Security benefits due to their disabilities