| 1.
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Identify and process Physician Services claims. (I)
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| 2.
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Identify and process Therapeutic Services claims. (II)
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| 3.
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List common laboratory tests and state which tests are ordered for a
given diagnosis. (III)
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| 4.
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List four types of surgical procedures. (IV)
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| 5.
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Describe general guidelines relating to surgery claims. (IV)
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| 6.
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List four types of anesthesia. (V)
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| 7.
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Calculate anesthesia charges. (V)
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| 8.
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Compare and contrast inpatient and outpatient hospital charges. (VI)
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| 9.
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Identify eight miscellaneous types of hospital facilities. (VI)
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| 10.
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Identify ambulance service billings and determine benefits payable.
(VII)
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| 11.
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Define durable medical equipment (DME). (VIII)
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| 12.
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Identify DME service billings and determine benefits payable. (VIII)
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| 13.
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State two reasons for an insurance claims adjustment. (IX)
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| 14.
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Explain the effect of claims adjustment. (IX)
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| 15.
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Describe the process for manual processing of claims adjustments. (IX)
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