CMAA Billing, Coding, and Claims 4

Question 1

A claim is returned to the medical office as 'unprocessable' due to a missing NPI. Which field on the CMS-1500 form contains the rendering provider's NPI?

Accepted Answer

Box 24J

Answer

Box 24J on the CMS-1500 form is where the rendering provider's NPI is entered for each service line.

Question 2

Which modifier is appended to a CPT code to indicate a service was performed by a physician assistant under the supervision of a physician?

Accepted Answer

-AS

Answer

Modifier -AS identifies services performed by a physician assistant, nurse practitioner, or clinical nurse specialist assisting at surgery.

Question 3

A patient's EOB shows a 'crossover claim' notation. What does this mean?

Accepted Answer

The claim was forwarded from Medicare to a secondary payer automatically

Answer

A crossover claim is automatically forwarded by Medicare to a secondary insurer (such as Medicaid) after Medicare processes it.

Question 4

Under the ICD-10-CM guidelines, when coding an encounter for a patient with a personal history of colon cancer who is now in remission, which code category is used?

Accepted Answer

Z85.3

Answer

Z85.3 (Personal history of malignant neoplasm of large intestine) is used when the cancer is no longer active but the patient has a history of it.

Question 5

Which of the following is the correct order for entering diagnosis codes on a claim when a patient has multiple conditions?

Accepted Answer

Principal/primary diagnosis first, then additional diagnoses

Answer

The principal or primary diagnosis (the condition chiefly responsible for the visit) is always listed first, followed by secondary diagnoses.

CMAA - Certified Medical Administrative Assistant Practice Test

CMAA - Certified Medical Administrative Assistant Practice Test

CMAA Billing, Coding, and Claims 4