Secondary diagnoses codes are entered in Blocks __________ of the CMS-1500 claim.
a. 21B - 24L
b. 24E
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Q. 2) The code reported in Block 21A of the CMS-1500 claim is the major reason the patient was treated by the health care provider. It is called the __________ diagnosis.
a. comorbid
b. first-listed
c. primary
d. principal
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Q. 3) Diagnoses must be entered in the patient's record to validate __________ of procedures or services billed.
a. documentation
b. frequency
c. medical necessity
d. submission
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Q. 4) ICD-10-CM diagnosis codes are entered in Block 21 of the CMS-1500 claim. A maximum of __________ ICD-10-CM codes may be entered on a single claim.
a. 4
b. 8
c. 12
d. 16
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Q. 5) When the YES box in Block 27 of the CMS-1500 claims contains an X, the provider agrees to receive as payment in full whatever the payer reimburses. This concept is called __________.
a. accept assignment
b. assignment of benefits
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Q. 6) Patients sign Block 13 of the CMS-1500 claim to instruct the payer to directly reimburse the provider. This concept is called __________.
a. accept assignment
b. assignment of benefits
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Q. 7) Which is a licensed physician in good standing who, according to state regulations, engages in the direct management of nonphysician practitioners whose duties are encompassed by that physician's scope of practice?
a. attending physician
b. managing physician
c. primary care physician
d. supervising physician
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Q. 8) Which of the following health care professionals is permitted to bill a physician when that physician provides direct supervision of procedures/services?
a. medical assistant
b. nonphysician practitioner
c. nurse
d. pharmacist
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Q. 9) Which is considered a nonphysician practitioner?
a. nurse
b. pharmacist
c. physician assistant
d. provider
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Q. 10) When entering a fee in Blocks 24F, 28, or 29, enter __________ in the cents column.
a. 1 zero
b. 2 zeros
c. 3 zeros
d. no zeros
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