Professional - Week 1-2
Quiz yourself by thinking what should be in
each of the black spaces below before clicking
on it to display the answer.
Help!
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| Where in the FAM would you find Noncovered Procedure Codes? | show 🗑
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| show | 12
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| show | DocRequest
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| show | Electronic, Repository (Business Objects)
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| show | T502
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| What are the 3 Assistant Surgeon modifiers? | show 🗑
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| What is the allowance for Physician Assistant? | show 🗑
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| What do you do with "L" codes? | show 🗑
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| If the direction of payment is "85", who will recieve the payment? | show 🗑
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| When will you see the EOB remark code T059? | show 🗑
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| show | CMS1500 or a HCFA1500
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| PXPL, is an EOB remark code that you will receive when? | show 🗑
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| show | The FAM and SOPs.
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| True or False. If Medicare denies a procedure, we must deny since Medicare is Primary? | show 🗑
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| show | 1, because State is the only insurance that is Primary to FEP.
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| True or False. Diagnosis code is the code used for the services rendered by the physician? | show 🗑
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| show | False, to be a duplicate it must have the same everything.
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| RF1031 and RF1032 are used for what purpose(s). | show 🗑
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| show | 11, Office Visit
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| show | 9 - denied, 1- orginal, 2- adjustment
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| show | To check provider status for DOS.
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| When you see PHNF and or HNF on a claim what two SOPs should you always reference? | show 🗑
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| The deferral XI+ is for what type of claims and what do you do with them? | show 🗑
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| show | FANES - Anesthesia, FEHIT - Home Infusion, AND FEPME - DME
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Created by:
Seabreeze06
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