Question 1

Appeals of denied claims or claim adjustments must be filed within:

Accepted Answer

A)  95 days from the date of service. 
B)  95 days from the date of disposition. 
C)  180 days from the date of disposition. 
D)  180 days from the date of service. 
A)  95 days from the date of service. 
B)  95 days from the date of disposition. 
C)  180 days from the date of disposition. 
D)  180 days from the date of service.

Question 2

The category of individuals who would be eligible for Medicaid services but have too much money is known as the ________.

Accepted Answer

The answer of The category of individuals who would be...

Question 3

States will get federal matching funds for categorically needy groups that include all of the following EXCEPT:

Accepted Answer

A)  families who meet Eligibility for Temporary Assistance for Needy Families (TANF, formerly AFD
C)  eligibility requirements. 
B)  children ages 6 to 19 in families with income up to 100% of the federal poverty level. 
C)  caretakers of children younger than age 18. 
D)  individuals age 65 and older. 
A)  families who meet Eligibility for Temporary Assistance for Needy Families (TANF, formerly AFD
C)  eligibility requirements. 
B)  children ages 6 to 19 in families with income up to 100% of the federal poverty level. 
C)  caretakers of children younger than age 18. 
D)  individuals age 65 and older.

Question 4

To what does the term Medi-Medi refer?

Accepted Answer

Medi-Medi refers to a benefici

Question 5

What are some of the specific services that may be available under Medi-Medi?

Accepted Answer

Medicare services are suppleme

Question 6

What is the EPSDT program?

Accepted Answer

The early and periodic screeni

Question 7

Special groups that may be eligible for Medicaid include all the following EXCEPT:

Accepted Answer

A)  immigrants. 
B)  families that need temporary assistance. 
C)  disabled adults. 
D)  children with disabilities. 
A)  immigrants. 
B)  families that need temporary assistance. 
C)  disabled adults. 
D)  children with disabilities.

Question 8

The abbreviation PCCM used in regard to Medicaid managed care plans stands for:

Accepted Answer

A)  per case care management. 
B)  preventive care case management. 
C)  primary care case management. 
D)  primary coverage and care management. 
A)  per case care management. 
B)  preventive care case management. 
C)  primary care case management. 
D)  primary coverage and care management.

Question 9

Which groups of people are eligible for Medicaid benefits?

Accepted Answer

The covered eligibility groups

Question 10

The total number of individuals enrolled in Medicaid and CHIP in January 2015 was nearly:

Accepted Answer

A)  20 million. 
B)  40 million. 
C)  50 million. 
D)  70 million. 
A)  20 million. 
B)  40 million. 
C)  50 million. 
D)  70 million.

Question 11

Those Medicaid beneficiaries who are excluded from cost-sharing provisions include:

Accepted Answer

A)  the blind. 
B)  the elderly. 
C)  pregnant women. 
D)  the disabled. 
A)  the blind. 
B)  the elderly. 
C)  pregnant women. 
D)  the disabled.

Question 12

The federal government matches state expenditures for medical assistance with no set limit or cap.

Accepted Answer

A) True 
 B)False

Question 13

What is PACE?

Accepted Answer

The Programs of All-Inclusive

Question 14

The federal government matches state expenditures for:

Accepted Answer

A)  mandatory services. 
B)  state optional services. 
C)  administrative costs. 
D)  all of the above. 
A)  mandatory services. 
B)  state optional services. 
C)  administrative costs. 
D)  all of the above.

Question 15

If a state elects to have a medically needy Medicaid program, it must include coverage for pregnant women.

Accepted Answer

A) True 
 B)False

Question 16

Which types of nominal cost sharing can states require of most Medicaid beneficiaries?

Accepted Answer

A)  Deductibles 
B)  Coinsurance 
C)  Copayments 
D)  all of the above 
A)  Deductibles 
B)  Coinsurance 
C)  Copayments 
D)  all of the above

Question 17

What are the restrictions that apply to states that limit Medicaid services?

Accepted Answer

Limits must result in a suffic

Question 18

Match the following:
-National identification number that providers must use in checking patients' Medicaid eligibility and filing claims

Accepted Answer

A)  PCCM 
B)  SSI 
C)  FMAP 
D)  Welfare Reform Bill 
E)  NPI
F) Title XIX of the Social Security Act
G) PACE
H) EPSDT
I) CHIPRA
J) Temporary Assistance for Needy Families (TANF) 
A)  PCCM 
B)  SSI 
C)  FMAP 
D)  Welfare Reform Bill 
E)  NPI
F) Title XIX of the Social Security Act
G) PACE
H) EPSDT
I) CHIPRA
J) Temporary Assistance for Needy Families (TANF)

Question 19

A person eligible for Medicaid in one state is automatically eligible in all other states.

Accepted Answer

A) True 
 B)False

Question 20

Physician services claims are filed using the:

Accepted Answer

A)  claim UB-04 form. 
B)  CMS-1500 claim form. 
C)  UB-92 claim form. 
D)  Medicaid PCCM claim form. 
A)  claim UB-04 form. 
B)  CMS-1500 claim form. 
C)  UB-92 claim form. 
D)  Medicaid PCCM claim form.

Appeals of denied claims or claim adjustments must be filed within:

The category of individuals who would be eligible for Medicaid services but have too much money is known as the ________.

States will get federal matching funds for categorically needy groups that include all of the following EXCEPT:

To what does the term Medi-Medi refer?

What are some of the specific services that may be available under Medi-Medi?

What is the EPSDT program?

Special groups that may be eligible for Medicaid include all the following EXCEPT:

The abbreviation PCCM used in regard to Medicaid managed care plans stands for:

Which groups of people are eligible for Medicaid benefits?

The total number of individuals enrolled in Medicaid and CHIP in January 2015 was nearly:

Those Medicaid beneficiaries who are excluded from cost-sharing provisions include:

The federal government matches state expenditures for medical assistance with no set limit or cap.

What is PACE?

The federal government matches state expenditures for:

If a state elects to have a medically needy Medicaid program, it must include coverage for pregnant women.

Which types of nominal cost sharing can states require of most Medicaid beneficiaries?

What are the restrictions that apply to states that limit Medicaid services?

Match the following: -National identification number that providers must use in checking patients' Medicaid eligibility and filing claims

A person eligible for Medicaid in one state is automatically eligible in all other states.

Physician services claims are filed using the:

Introduction to Professional Billing and Coding Careers

Understanding Managed Care: Insurance Plans

Understanding Managed Care: Medical Contracts and Ethics

Introduction to the Health Insurance Portability and Accountability Act Hipaa

ICD-10 Cm Medical Coding

Introduction to CPT and Place of Coding Services

Coding Procedures and Services

Hcpcs Coding and Compliance

Auditing

Physician Medical Billing

Hospital Medical Billing

Medicare Medical Billing

Tricare Medical Billing

Explanation of Benefits and Payment Adjudication

Refunds and Appeals

Workers Compensation

Filters

Exam 13: Medicaid Medical Billing

Appeals of denied claims or claim adjustments must be filed within:

The category of individuals who would be eligible for Medicaid services but have too much money is known as the ________.

States will get federal matching funds for categorically needy groups that include all of the following EXCEPT:

To what does the term Medi-Medi refer?

What are some of the specific services that may be available under Medi-Medi?

What is the EPSDT program?

Special groups that may be eligible for Medicaid include all the following EXCEPT:

The abbreviation PCCM used in regard to Medicaid managed care plans stands for:

Which groups of people are eligible for Medicaid benefits?

The total number of individuals enrolled in Medicaid and CHIP in January 2015 was nearly:

Those Medicaid beneficiaries who are excluded from cost-sharing provisions include:

The federal government matches state expenditures for medical assistance with no set limit or cap.

What is PACE?

The federal government matches state expenditures for:

If a state elects to have a medically needy Medicaid program, it must include coverage for pregnant women.

Which types of nominal cost sharing can states require of most Medicaid beneficiaries?

What are the restrictions that apply to states that limit Medicaid services?

Match the following: -National identification number that providers must use in checking patients' Medicaid eligibility and filing claims

A person eligible for Medicaid in one state is automatically eligible in all other states.

Physician services claims are filed using the:

Introduction to Professional Billing and Coding Careers

Understanding Managed Care: Insurance Plans

Understanding Managed Care: Medical Contracts and Ethics

Introduction to the Health Insurance Portability and Accountability Act Hipaa

ICD-10 Cm Medical Coding

Introduction to CPT and Place of Coding Services

Coding Procedures and Services

Hcpcs Coding and Compliance

Auditing

Physician Medical Billing

Hospital Medical Billing

Medicare Medical Billing

Tricare Medical Billing

Explanation of Benefits and Payment Adjudication

Refunds and Appeals

Workers Compensation

Filters