What is the npi number Study guides, Class notes & Summaries

What describes the reason for a claim rejection because of Medicare NCCI edits - Improper code combinations A claim is submitted with a transposed insurance member ID number and returned to the provider. - Invalid Medigap coverage is offered to Medicare beneficiaries by whom - Private thirdparty payers What provision assures that an insured's benefits from all insurance companies do not exceed 100% of the allowable medical expense - Coordination of benefits A coroner's autopsy is compri...

When considering the regulatory requirements for healthcare, which agencies primarily oversee the use of medication?: FDA and DEA The FDA (Federal Drug Administration) and DEA (Drug Enforcement Agency) focus on medication compliance and medication utilization. 2. How would you follow up on a denied claim?: Make sure resubmissions are marked as "corrected claim" and include the reference number from the denied claim. 3. What information should you supply when you are calling to discuss a ...

AAPC CPB Chapter 12 Practical ApplicationUse CPB Chapter 12_Case to answer questions 1 and 2. After review of the information provided, are there any errors on the claim form? If so, which elements are incorrect? I. Type of Insurance II. Primary insurance policy number III. Primary group number IV. Federal Tax ID number V. Billing provider and NPI A. I and II B. II and IV C. III and V D. There are no errors on this claim. - correct answer A. I and II Response Feedback: The...

What is the NPI Number? correct answers Where do you find a patient? correct answers Account Maintenance What is the TAX ID correct answers What is the surcharge for New York? correct answers 9.63% What is New York's domestic payer for BCBS? correct answers Excellus What does DOR stand for? correct answers Designation of an authorized representative Do Guarantor records hold insurance info? correct answers No Personal, Dental, ________, No fault, Dental are all types of G...

AAPC CPB Chapter 11 Practical Questions and Answers well Elaborated Use CPB Chapter 11_Case to answer questions 1 & 2. After review of the information provided, are there any errors on the claim form? If so, which elements are incorrect? I. The provider must accept assignment II. Provider name conflict III. Medicare ID number is missing information IV. Medicaid ID number is missing information V. Medicare ID number in the wrong field VI. Medicaid ID number in the wrong field VII. Ord...

ExCPT Exam Questions And Answers 2024 Mr. Tucker weighs 65kg. What is his weight in pounds? - ANS-143 lb If a bottle of Protonix has been manufacturer-assigned expiration date of 09/2015, what is the last day it can be used? - ANS-September 30, 2015 What is the generic drug name for Keppra? - ANS-Levetiracetam Which task must be completed by a licensed pharmacists? - ANS-Recommending an OTC medication for a patient Which class of FDA recall would be issued for a product that is unlikely...

Revenue Per Visit (RPV) - ANSWER Total amount collected divides by the total number of patient visits Advance Benefit Notification (ABN) - ANSWER Notification given to patients advising Medicare may not cover a certain procedure or service Payment for fee for service is based on - ANSWER CPT & HCPCS Level II MCO - ANSWER Private Health Plan Place of Service (POS) determines correct reimbursement when - ANSWER The professional component for services provided in a facility (I.e. HOD) a...

where would you prepare hazardous drugs in a pharmacy? - correct answer In a biological safety hood How many 500 mg doses can be prepared from a 10g vial of vefazolin? - correct answer 20 doses What is required for a pharmacy to participate in a third party reimbursement program? - correct answer National Provider Identifier Number(NPI) If a paitent is experiencing a dry, nonproductive cough, What classification of drug should the patient take? - correct answer Antitussive Wh...

How many hours must a PIC work in the pharmacy that they are a PIC in? - At least 30 hours if the store is open > 40 hours per week Internship Requirements: Must notify the BOP within how many days of a new job or termination? - 10 days Requirements for licensure as a pharmacist - 1. 18 or older 2. Evidence of good moral character 3. Graduate from an approved SOP 4. Have 1500 hours of internship in a licensed pharmacy 5. Sign waiver for criminal background check Renewing pharmaci...

CPPM Exam Prep Questions and Answers 2024 Revenue Per Visit (RPV) - Answer- Total amount collected divides by the total number of patient visits Advance Benefit Notification (ABN) - Answer- Notification given to patients advising Medicare may not cover a certain procedure or service Payment for fee for service is based on - Answer- CPT & HCPCS Level II MCO - Answer- Private Health Plan Place of Service (POS) determines correct reimbursement when - Answer- The professional component for ...