1. What describes the reason for a claim rejection because of Medicare NCCI edits✓✓✓✓Improper code combinations

2. A claim is submitted with a transposed insurance member ID number and returned to the provider.✔✔✔✔Invalid

3. payers Medigap coverage is offered to Medicare beneficiaries by whom✓✓✓✓ Private third-party

What provision assures that an insured's benefits from all insurance companies do not exceed 100% of the allowable medical expense✓ ✓ ✓ ✓ Coordination of benefits

4.

5. A coroner's autopsy is comprised of what examination✓✓✓✓ Gross Examination

6. What is true regarding the release of a patient records✓✓✓✓ Patient access to psychotherapy notes is restricted

7. What is considered fraud✓ ✓ ✓ ✓ Billing for services not provided

8. What component of an explanation of benefit expedites the process of a phone appeal✓✓✓✓Claim control number

9. On the CMS-1500 claim form, item number 14 33 contain information about✓✓✓✓ The patient's condition and the provider's information

10. The financial record source that is generated by a provider's office is called a✓✓✓✓ Patients


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