Question 1

Providers participating in Medicaid must accept the Medicaid payment rate as payment in full and cannot balance-bill the patient.

Accepted Answer

A) True 
 B)False

Question 2

The federal government pays for a percentage of the costs of medical services by reimbursing each state; this percentage is known as the:

Accepted Answer

A)  Federal Medical Assistance Percentage (FMAP). 
B)  State Medical Assistance Percentage (SMAP). 
C)  Federal Medicaid Reimbursement Percentage (FMRP). 
D)  State Medicaid Reimbursement Percentage (SMRP). 
A)  Federal Medical Assistance Percentage (FMAP). 
B)  State Medical Assistance Percentage (SMAP). 
C)  Federal Medicaid Reimbursement Percentage (FMRP). 
D)  State Medicaid Reimbursement Percentage (SMRP).

Question 3

Medicaid is health insurance coverage for:

Accepted Answer

A)  the aged. 
B)  the disabled. 
C)  low-income individuals. 
D)  those with end-stage renal disease (ESR
D) . 
A)  the aged. 
B)  the disabled. 
C)  low-income individuals. 
D)  those with end-stage renal disease (ESR
D) .

Question 4

Form locator 22 indicates:

Accepted Answer

A)  Patient's relationship to insured. 
B)  Medicaid Resubmission Code. 
C)  EPSDT Family Plan. 
D)  Accept Assignment Code. 
A)  Patient's relationship to insured. 
B)  Medicaid Resubmission Code. 
C)  EPSDT Family Plan. 
D)  Accept Assignment Code.

Question 5

In some states, a spend-down program requires that individuals must spend a portion of their income or resources each month on medical expenses before:

Accepted Answer

A)  Medicare begins paying for services. 
B)  Medicaid begins paying for services. 
C)  a deductible is paid. 
D)  a coinsurance amount applies. 
A)  Medicare begins paying for services. 
B)  Medicaid begins paying for services. 
C)  a deductible is paid. 
D)  a coinsurance amount applies.

Question 6

People with Medicare and Medicaid automatically qualify (and do not need to apply) for Extra Help paying for Medicare prescription drug coverage.

Accepted Answer

A) True 
 B)False

Question 7

The largest funding for healthcare for America's low-income individuals comes from:

Accepted Answer

A)  Medicare. 
B)  Medicaid. 
C)  private insurance. 
D)  individuals. 
A)  Medicare. 
B)  Medicaid. 
C)  private insurance. 
D)  individuals.

Question 8

Patients are not charged a fee for EPSDT services; however, some families do pay a premium.

Accepted Answer

A) True 
 B)False

Question 9

Most states provide electronic verification of Medicaid eligibility.

Accepted Answer

A) True 
 B)False

Question 10

Match the following:
-The federal program that provides supplementary income for certain groups of the aged, blind, and disabled

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 11

A type of noncapitated Medicaid managed care plan in which participants must select a primary care physician is known as primary care ________.

Accepted Answer

The answer of A type of noncapitated Medicaid managed care...

Question 12

If an individual is covered by both Medicaid and Medicare:

Accepted Answer

A)  Medicare is always primary. 
B)  Medicaid is always primary. 
C)  Medicaid is primary only if the individual is younger than 65. 
D)  Medicare is primary only if the individual is younger than 65. 
A)  Medicare is always primary. 
B)  Medicaid is always primary. 
C)  Medicaid is primary only if the individual is younger than 65. 
D)  Medicare is primary only if the individual is younger than 65.

Question 13

As a result of the Welfare Reform Bill, legal resident aliens who entered the United States after 1996 are NOT eligible for Medicaid for 8 years.

Accepted Answer

A) True 
 B)False

Question 14

All Medicaid beneficiaries are exempt from copayments for ________ and ________ services.

Accepted Answer

emergency;

Question 15

What is the definition of medically needy?

Accepted Answer

The medically needy have too m

Question 16

Groups included as eligible for Medicaid include:

Accepted Answer

A)  the categorically needy. 
B)  the medically needy. 
C)  special groups. 
D)  all of the above. 
A)  the categorically needy. 
B)  the medically needy. 
C)  special groups. 
D)  all of the above.

Question 17

The code ST used in form locator 24H in regard to early and periodic screening, diagnosis, and treatment (EPSDT) services means :

Accepted Answer

A)  services were not available. 
B)  services were available and used. 
C)  new services were requested. 
D)  services were available but not authorized. 
A)  services were not available. 
B)  services were available and used. 
C)  new services were requested. 
D)  services were available but not authorized.

Question 18

The early and periodic screening, diagnosis, and treatment (EPSDT) program provides coverage for:

Accepted Answer

A)  early and preventative services for dependency treatment. 
B)  easy periodic screening for dependents' treatment. 
C)  early and periodic screening, diagnosis, and treatment. 
D)  early and preventative services for diagnosis and treatment. 
A)  early and preventative services for dependency treatment. 
B)  easy periodic screening for dependents' treatment. 
C)  early and periodic screening, diagnosis, and treatment. 
D)  early and preventative services for diagnosis and treatment.

Question 19

If a Medicaid claim was NOT filed within the required time limits because of an error or neglect on the part of the medical office staff, the physician can appeal the denial and seek payment.

Accepted Answer

A) True 
 B)False

Question 20

Medicaid participating hospitals and other inpatient facilities file claims electronically using the:

Accepted Answer

A)  UB-04 claim form. 
B)  CMS-1500 claim form. 
C)  Medicaid claim form. 
D)  Title XIX claim form. 
A)  UB-04 claim form. 
B)  CMS-1500 claim form. 
C)  Medicaid claim form. 
D)  Title XIX claim form.

Providers participating in Medicaid must accept the Medicaid payment rate as payment in full and cannot balance-bill the patient.

The federal government pays for a percentage of the costs of medical services by reimbursing each state; this percentage is known as the:

Medicaid is health insurance coverage for:

Form locator 22 indicates:

In some states, a spend-down program requires that individuals must spend a portion of their income or resources each month on medical expenses before:

People with Medicare and Medicaid automatically qualify (and do not need to apply) for Extra Help paying for Medicare prescription drug coverage.

The largest funding for healthcare for America's low-income individuals comes from:

Patients are not charged a fee for EPSDT services; however, some families do pay a premium.

Most states provide electronic verification of Medicaid eligibility.

Match the following: -The federal program that provides supplementary income for certain groups of the aged, blind, and disabled

A type of noncapitated Medicaid managed care plan in which participants must select a primary care physician is known as primary care ________.

If an individual is covered by both Medicaid and Medicare:

As a result of the Welfare Reform Bill, legal resident aliens who entered the United States after 1996 are NOT eligible for Medicaid for 8 years.

All Medicaid beneficiaries are exempt from copayments for and services.

What is the definition of medically needy?

Groups included as eligible for Medicaid include:

The code ST used in form locator 24H in regard to early and periodic screening, diagnosis, and treatment (EPSDT) services means :

The early and periodic screening, diagnosis, and treatment (EPSDT) program provides coverage for:

If a Medicaid claim was NOT filed within the required time limits because of an error or neglect on the part of the medical office staff, the physician can appeal the denial and seek payment.

Medicaid participating hospitals and other inpatient facilities file claims electronically 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

Providers participating in Medicaid must accept the Medicaid payment rate as payment in full and cannot balance-bill the patient.

The federal government pays for a percentage of the costs of medical services by reimbursing each state; this percentage is known as the:

Medicaid is health insurance coverage for:

Form locator 22 indicates:

In some states, a spend-down program requires that individuals must spend a portion of their income or resources each month on medical expenses before:

People with Medicare and Medicaid automatically qualify (and do not need to apply) for Extra Help paying for Medicare prescription drug coverage.

The largest funding for healthcare for America's low-income individuals comes from:

Patients are not charged a fee for EPSDT services; however, some families do pay a premium.

Most states provide electronic verification of Medicaid eligibility.

Match the following: -The federal program that provides supplementary income for certain groups of the aged, blind, and disabled

A type of noncapitated Medicaid managed care plan in which participants must select a primary care physician is known as primary care ________.

If an individual is covered by both Medicaid and Medicare:

As a result of the Welfare Reform Bill, legal resident aliens who entered the United States after 1996 are NOT eligible for Medicaid for 8 years.

All Medicaid beneficiaries are exempt from copayments for ________ and ________ services.

What is the definition of medically needy?

Groups included as eligible for Medicaid include:

The code ST used in form locator 24H in regard to early and periodic screening, diagnosis, and treatment (EPSDT) services means :

The early and periodic screening, diagnosis, and treatment (EPSDT) program provides coverage for:

If a Medicaid claim was NOT filed within the required time limits because of an error or neglect on the part of the medical office staff, the physician can appeal the denial and seek payment.

Medicaid participating hospitals and other inpatient facilities file claims electronically 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

All Medicaid beneficiaries are exempt from copayments for and services.