CA BILLING & CODING TEST WITH SOLUTIONS, Exams of Public Law

CA BILLING & CODING TEST WITH SOLUTIONS

1. A billing and coding specialist discovers that one private payer

has not reimbursed the provider for any claims submitted in the

past year. Clean claims have been submitted to the payer and

have been acknowledged. Which of the following entities should

the specialist contact to report the payer's failure to submit timely

reimbursement? - ANSWERS-a. State Insurance Commissioner's

1. When should a billing and coding specialist initiate the

collection of the information needed to process a patient's

insurance claim form? - ANSWERS-a. When the patient contacts

the provider's office and schedules an appointment

1. A billing and coding specialist is reviewing modifier use with a

new employee. Which of the following scenarios warrants the use

of a modifier? - ANSWERS-a. Splinting of the fourth digit on the

left foot