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CBCS prep questions

QuestionAnswer
what are the key phases of the healthcare revenue cycle?
define protected health information
what are the main differences between HIPAA and HITECH?
explain the function of ICD-10-CM and CPT codes
describe the six steps to assigning a diagnosis code
what is the purpose of HCPCS level II codes?
define "medical necessity" and its importance in billing
differentiate between a clean claim and a rejected claim
explain what the CMS 1500 form is used for
explain the difference between the four types of claim forms
list the differences between medicare and medicaid
what is the purpose of an advance beneficiary notice?
describe the difference between TRICARE and CHAMPVA
explain the claim adjudication process
what is the function of a clearinghouse?
list reasons a claim could be denied
what are category I, II, and III cpt codes?
what is the difference between out of network and in network providers?
what is the revenue cycle's role in healthcare reimbursement?
define assignment of benefits
explain how to verify patient eligibility and benefits
define the term compliance plan
what is the function of the Office of the Inspector General?
define durable medical equipment
differentiate between fraud and abuse
describe the medicare summary notice
what is a preauthorization requirement?
list three types of managed care plans
what is a remittance advice?
explain "incident to" billing
what are global periods in surgical coding?
describe how an aging report helps in collections
what is the difference between copay and coinsurance?
define fee-for-service
what is an EOB and what is it for?
describe skip tracing
what are RBRVS and RVU in payment management?
what is the purpose of a compliance audit?
Created by: user-1993950
 

 



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