Question 1

The form a new patient completes when registering in a physician's office is known as a(n) ________ form.

Accepted Answer

patient information

Question 2

The individual who purchases an insurance policy is known as the:

Accepted Answer

A)  employee. 
B)  guarantor. 
C)  patient. 
D)  policyholder. 
A)  employee. 
B)  guarantor. 
C)  patient. 
D)  policyholder. D

Question 3

To what does the term healthcare information refer?

Accepted Answer

Information recorded in any form or medium that identifies the patient and relates to the patient's history, diagnosis, treatment, or prognosis is healthcare information, also known as the patient's medical record.

Question 4

What are some of the advantages of OCR in the processing of paper claims?

Accepted Answer

Scanners read at such a fast s

Question 5

According to the birthday rule, if both parents cover dependent children under their insurance policies, the primary insurance is the policy:

Accepted Answer

A)  that has been in force the longest. 
B)  of the older parent. 
C)  of the parent whose date of birth occurs earliest in the year. 
D)  that has the highest level of benefits. 
A)  that has been in force the longest. 
B)  of the older parent. 
C)  of the parent whose date of birth occurs earliest in the year. 
D)  that has the highest level of benefits.

Question 6

On the CMS-1500 claim form, the abbreviation NPI indicates that:

Accepted Answer

A)  a condition was Not Present or Indicated upon examination. 
B)  the National Health Plan Identifier must be entered. 
C)  the National Provider Identifier must be entered. 
D)  the National Preferred Identifier for clearinghouses must be entered. 
A)  a condition was Not Present or Indicated upon examination. 
B)  the National Health Plan Identifier must be entered. 
C)  the National Provider Identifier must be entered. 
D)  the National Preferred Identifier for clearinghouses must be entered.

Question 7

To avoid denials, always make sure that the ________ codes used are the most recent, up-to-date codes.

Accepted Answer

The answer of To avoid denials, always make sure that...

Question 8

Match the following
-Claim form used by hospitals to report services to insurance carriers

Accepted Answer

A)  release of information form 
B)  superbill 
C)  CMS-1500 
D)  clearinghouse 
E)  billing service
F) guarantor
G) policyholder
H) assignment of benefits
I) UB-04
J) patient information form 
A)  release of information form 
B)  superbill 
C)  CMS-1500 
D)  clearinghouse 
E)  billing service
F) guarantor
G) policyholder
H) assignment of benefits
I) UB-04
J) patient information form

Question 9

What is meant by coordination of benefits (COB)?

Accepted Answer

It is important to find out which carrie

Question 10

A referral or prior authorization number may still be required even if that insurance carrier provides secondary coverage for the patient.

Accepted Answer

A) True 
 B)False

Question 11

On the CMS-1500 claim form, the abbreviation DD indicates that:

Accepted Answer

A)  up to two diagnosis codes can be entered. 
B)  a doctor of dentistry performed the service. 
C)  the day of the month should be entered as two digits. 
D)  durable medical equipment (DM
E)  was ordered. 
A)  up to two diagnosis codes can be entered. 
B)  a doctor of dentistry performed the service. 
C)  the day of the month should be entered as two digits. 
D)  durable medical equipment (DM
E)  was ordered.

Question 12

The person who purchases an insurance policy is known as the________.

Accepted Answer

The answer of The person who purchases an insurance policy...

Question 13

Optical character recognition can recognize handwriting and text, which helps staff turn paper records into digital records quickly and efficiently.

Accepted Answer

A) True 
 B)False

Question 14

When submitting a secondary claim, you must attach a copy of the primary carrier's EOB to the completed CMS-1500 or UB-04.

Accepted Answer

A) True 
 B)False

Question 15

The CMS-1500 claim form used by physician offices was developed by:

Accepted Answer

A)  the American Medical Association (AM
A) . 
B)  the Blue Cross/Blue Shield Association. 
C)  the CMS. 
D)  representatives from all insurance carriers. 
A)  the American Medical Association (AM
A) . 
B)  the Blue Cross/Blue Shield Association. 
C)  the CMS. 
D)  representatives from all insurance carriers.

Question 16

If a patient has more than one insurance plan, the determination of how much will be paid by each is known as:

Accepted Answer

A)  assignment of benefits. 
B)  the birthday rule. 
C)  coordination of benefits. 
D)  verification of benefits. 
A)  assignment of benefits. 
B)  the birthday rule. 
C)  coordination of benefits. 
D)  verification of benefits.

Question 17

The use of the CMS-1500 claim form is:

Accepted Answer

A)  mandatory for all physician office claims. 
B)  mandatory for all Medicare claims but optional for private insurance carriers. 
C)  optional for all Medicare claims but mandatory for private insurance carriers. 
D)  optional for all physician office claims. 
A)  mandatory for all physician office claims. 
B)  mandatory for all Medicare claims but optional for private insurance carriers. 
C)  optional for all Medicare claims but mandatory for private insurance carriers. 
D)  optional for all physician office claims.

Question 18

The majority of income in a physician's office comes from:

Accepted Answer

A)  bank loans. 
B)  payments from insurance companies. 
C)  payments from patients. 
D)  private donations. 
A)  bank loans. 
B)  payments from insurance companies. 
C)  payments from patients. 
D)  private donations.

Question 19

If form locator 20 is marked Yes because the physician referred the patient to an outside lab for some type of lab work, form locator 32 must also be completed.

Accepted Answer

A) True 
 B)False

Question 20

Match the following
-The person ultimately responsible for paying for medical services

Accepted Answer

A)  release of information form 
B)  superbill 
C)  CMS-1500 
D)  clearinghouse 
E)  billing service
F) guarantor
G) policyholder
H) assignment of benefits
I) UB-04
J) patient information form 
A)  release of information form 
B)  superbill 
C)  CMS-1500 
D)  clearinghouse 
E)  billing service
F) guarantor
G) policyholder
H) assignment of benefits
I) UB-04
J) patient information form

The form a new patient completes when registering in a physician's office is known as a(n) ________ form.

The individual who purchases an insurance policy is known as the:

To what does the term healthcare information refer?

What are some of the advantages of OCR in the processing of paper claims?

According to the birthday rule, if both parents cover dependent children under their insurance policies, the primary insurance is the policy:

On the CMS-1500 claim form, the abbreviation NPI indicates that:

To avoid denials, always make sure that the ________ codes used are the most recent, up-to-date codes.

Match the following -Claim form used by hospitals to report services to insurance carriers

What is meant by coordination of benefits (COB)?

A referral or prior authorization number may still be required even if that insurance carrier provides secondary coverage for the patient.

On the CMS-1500 claim form, the abbreviation DD indicates that:

The person who purchases an insurance policy is known as the________.

Optical character recognition can recognize handwriting and text, which helps staff turn paper records into digital records quickly and efficiently.

When submitting a secondary claim, you must attach a copy of the primary carrier's EOB to the completed CMS-1500 or UB-04.

The CMS-1500 claim form used by physician offices was developed by:

If a patient has more than one insurance plan, the determination of how much will be paid by each is known as:

The use of the CMS-1500 claim form is:

The majority of income in a physician's office comes from:

If form locator 20 is marked Yes because the physician referred the patient to an outside lab for some type of lab work, form locator 32 must also be completed.

Match the following -The person ultimately responsible for paying for medical services

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

Hospital Medical Billing

Medicare Medical Billing

Medicaid Medical Billing

Tricare Medical Billing

Explanation of Benefits and Payment Adjudication

Refunds and Appeals

Workers Compensation

Filters

Exam 10: Physician Medical Billing

The form a new patient completes when registering in a physician's office is known as a(n) ________ form.

The individual who purchases an insurance policy is known as the:

To what does the term healthcare information refer?

What are some of the advantages of OCR in the processing of paper claims?

According to the birthday rule, if both parents cover dependent children under their insurance policies, the primary insurance is the policy:

On the CMS-1500 claim form, the abbreviation NPI indicates that:

To avoid denials, always make sure that the ________ codes used are the most recent, up-to-date codes.

Match the following -Claim form used by hospitals to report services to insurance carriers

What is meant by coordination of benefits (COB)?

A referral or prior authorization number may still be required even if that insurance carrier provides secondary coverage for the patient.

On the CMS-1500 claim form, the abbreviation DD indicates that:

The person who purchases an insurance policy is known as the________.

Optical character recognition can recognize handwriting and text, which helps staff turn paper records into digital records quickly and efficiently.

When submitting a secondary claim, you must attach a copy of the primary carrier's EOB to the completed CMS-1500 or UB-04.

The CMS-1500 claim form used by physician offices was developed by:

If a patient has more than one insurance plan, the determination of how much will be paid by each is known as:

The use of the CMS-1500 claim form is:

The majority of income in a physician's office comes from:

If form locator 20 is marked Yes because the physician referred the patient to an outside lab for some type of lab work, form locator 32 must also be completed.

Match the following -The person ultimately responsible for paying for medical services

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

Hospital Medical Billing

Medicare Medical Billing

Medicaid Medical Billing

Tricare Medical Billing

Explanation of Benefits and Payment Adjudication

Refunds and Appeals

Workers Compensation

Filters