Question 1

The Federal Tax ID number (Box 25)for the provider filing the claim can be presented as

Accepted Answer

A)  Social Security Number (SSN). 
B)  Employer Identification Number (EIN). 
C)  National Provider Identification (NPI). 
D)  Both A and B 
E)  All of the above 
A)  Social Security Number (SSN). 
B)  Employer Identification Number (EIN). 
C)  National Provider Identification (NPI). 
D)  Both A and B 
E)  All of the above

Question 2

When completing the CMS-1500 Form,which section contains information about the patient and the insured?

Accepted Answer

A)  Section 1 
B)  Section 2 
C)  Section 3 
D)  Section 4 
A)  Section 1 
B)  Section 2 
C)  Section 3 
D)  Section 4

Question 3

Claims that have errors or omissions that must be corrected and resubmitted to receive reimbursement are called _____________ claims.

Accepted Answer

A)  clean 
B)  dirty 
C)  dingy 
D)  incomplete 
A)  clean 
B)  dirty 
C)  dingy 
D)  incomplete

Question 4

Which of the following is a common reason why insurance claims are rejected?

Accepted Answer

A)  When a procedure listed is not an insurance benefit 
B)  Lack of insurance coverage on date of service 
C)  Not obtaining preauthorization for the service 
D)  Claim was sent to the wrong insurance plan 
A)  When a procedure listed is not an insurance benefit 
B)  Lack of insurance coverage on date of service 
C)  Not obtaining preauthorization for the service 
D)  Claim was sent to the wrong insurance plan

Question 5

A(n)__________ claim has been completed accurately and completely.

Accepted Answer

The answer of A(n)__________ claim has been completed accurately and...

Question 6

The insurance claim should always be proofread.

Accepted Answer

A) True 
 B)False

Question 7

The insured's address in block 7 refers to the __________ address.

Accepted Answer

A)  patient's 
B)  spouse's 
C)  policyholder's 
D)  insurance carrier's 
A)  patient's 
B)  spouse's 
C)  policyholder's 
D)  insurance carrier's

Question 8

Which of the following steps to medical billing should be performed prior to rendering medical services?

Accepted Answer

A)  Verify the patient's eligibility for insurance coverage 
B)  Collect patient insurance information 
C)  Code the diagnosis and procedures 
D)  Complete the CMS-1500 health insurance claim form 
E)  Both A and B 
A)  Verify the patient's eligibility for insurance coverage 
B)  Collect patient insurance information 
C)  Code the diagnosis and procedures 
D)  Complete the CMS-1500 health insurance claim form 
E)  Both A and B

Question 9

Procedures performed on the patient are found in what block?

Accepted Answer

A)  24a 
B)  24b 
C)  24d 
D)  24e 
A)  24a 
B)  24b 
C)  24d 
D)  24e

Question 10

The charges for procedures are listed in column __________ of block 24.

Accepted Answer

A) True 
 B)False

Question 11

Claims that are done by direct billing first go to a clearinghouse.

Accepted Answer

A) True 
 B)False

Question 12

Dirty claims cannot be resubmitted.

Accepted Answer

A) True 
 B)False

Question 13

Claims submitted to a(n)__________ are forwarded to individual insurance carriers.

Accepted Answer

The answer of Claims submitted to a(n)__________ are forwarded to...

Question 14

The abbreviation often used in blocks 12,13,and 31 is __________.

Accepted Answer

The answer of The abbreviation often used in blocks 12,13,and...

The Federal Tax ID number (Box 25)for the provider filing the claim can be presented as

When completing the CMS-1500 Form,which section contains information about the patient and the insured?

Claims that have errors or omissions that must be corrected and resubmitted to receive reimbursement are called _____________ claims.

Which of the following is a common reason why insurance claims are rejected?

A(n)__________ claim has been completed accurately and completely.

The insurance claim should always be proofread.

The insured's address in block 7 refers to the __________ address.

Which of the following steps to medical billing should be performed prior to rendering medical services?

Procedures performed on the patient are found in what block?

The charges for procedures are listed in column __________ of block 24.

Claims that are done by direct billing first go to a clearinghouse.

Dirty claims cannot be resubmitted.

Claims submitted to a(n)__________ are forwarded to individual insurance carriers.

The abbreviation often used in blocks 12,13,and 31 is __________.

Competency-Based Education and the Medical Assistant Student

The Medical Assistant and the Healthcare Team

Professional Behavior in the Workplace

Therapeutic Communications

Patient Education

Medicine and Law

Medicine and Ethics

Technology and Written Communication in the Medical Office

Telephone Techniques

Scheduling Appointments and Patient Processing

Daily Operations in the Ambulatory Care Setting

The Health Record

Administrative Pharmacology Applications

Basics of Diagnostic Coding

Basics of Procedural Coding

Basics of Health Insurance

Patient Accounts,collections and Practice Management

Banking Services and Procedures

Supervision and Human Resources Management

Medical Practice Marketing and Customer Service

Safety and Emergency Practices

Career Development and Life Skills

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Exam 17: Medical Billing and Reimbursement

The Federal Tax ID number (Box 25)for the provider filing the claim can be presented as

When completing the CMS-1500 Form,which section contains information about the patient and the insured?

Claims that have errors or omissions that must be corrected and resubmitted to receive reimbursement are called _____________ claims.

Which of the following is a common reason why insurance claims are rejected?

A(n)__________ claim has been completed accurately and completely.

The insurance claim should always be proofread.

The insured's address in block 7 refers to the __________ address.

Which of the following steps to medical billing should be performed prior to rendering medical services?

Procedures performed on the patient are found in what block?

The charges for procedures are listed in column __________ of block 24.

Claims that are done by direct billing first go to a clearinghouse.

Dirty claims cannot be resubmitted.

Claims submitted to a(n)__________ are forwarded to individual insurance carriers.

The abbreviation often used in blocks 12,13,and 31 is __________.

Competency-Based Education and the Medical Assistant Student

The Medical Assistant and the Healthcare Team

Professional Behavior in the Workplace

Therapeutic Communications

Patient Education

Medicine and Law

Medicine and Ethics

Technology and Written Communication in the Medical Office

Telephone Techniques

Scheduling Appointments and Patient Processing

Daily Operations in the Ambulatory Care Setting

The Health Record

Administrative Pharmacology Applications

Basics of Diagnostic Coding

Basics of Procedural Coding

Basics of Health Insurance

Patient Accounts,collections and Practice Management

Banking Services and Procedures

Supervision and Human Resources Management

Medical Practice Marketing and Customer Service

Safety and Emergency Practices

Career Development and Life Skills

Filters