Question 1

Medicaid's Early and Periodic Screening, Diagnosis, and Treatment (EPSDT) program in form locator 24H includes all the following reason codes EXCEPT:

Accepted Answer

A)  AV. 
B)  ST. 
C)  MT. 
D)  NU. 
A)  AV. 
B)  ST. 
C)  MT. 
D)  NU.

Question 2

If a patient has signed a consent document authorizing release of medical information to the insurance carrier, the notation "Signature on File" or "SOF" may be entered in form locator 12.

Accepted Answer

A) True 
 B)False

Question 3

Components of the Administration Simplification subsection of HIPAA include all of the following EXCEPT:

Accepted Answer

A)  transaction and code sets. 
B)  compliance and auditing guidelines. 
C)  uniform identifiers. 
D)  privacy and security rules. 
A)  transaction and code sets. 
B)  compliance and auditing guidelines. 
C)  uniform identifiers. 
D)  privacy and security rules.

Question 4

If an individual is covered under Plan A through her employment and is covered under Plan B through her spouse's employment:

Accepted Answer

A)  Plan A is primary, and Plan B is secondary. 
B)  Plan B is primary, and Plan A is secondary. 
C)  only Plan A will pay for her benefits. 
D)  Plan B will pay all of the benefits. 
A)  Plan A is primary, and Plan B is secondary. 
B)  Plan B is primary, and Plan A is secondary. 
C)  only Plan A will pay for her benefits. 
D)  Plan B will pay all of the benefits.

Question 5

To submit claims to an insurance carrier, a billing service requires:

Accepted Answer

A)  the patient's personal and insurance information. 
B)  a copy of the patient's insurance card. 
C)  the encounter form documenting the diagnosis and services provided. 
D)  all of the above. 
A)  the patient's personal and insurance information. 
B)  a copy of the patient's insurance card. 
C)  the encounter form documenting the diagnosis and services provided. 
D)  all of the above.

Question 6

The CMS-1500 claim form is mandatory for all Medicare claims.

Accepted Answer

A) True 
 B)False

Question 7

The form used by the provider to document ICD-10-CM and CPT codes for routine services is referred to as a(n):

Accepted Answer

A)  encounter form. 
B)  charge slip. 
C)  superbill. 
D)  all of the above. 
A)  encounter form. 
B)  charge slip. 
C)  superbill. 
D)  all of the above.

Question 8

A UB-04 claim form is used by:

Accepted Answer

A)  physician offices. 
B)  hospitals. 
C)  surgeons. 
D)  therapists. 
A)  physician offices. 
B)  hospitals. 
C)  surgeons. 
D)  therapists.

Question 9

Why does no standardized superbill form exist?

Accepted Answer

Superbills vary because medica

Question 10

To authorize the release of information, a patient must sign either form locator 9 on the CMS-1500 form or a consent document with similar wording to be retained in the office files.

Accepted Answer

A) True 
 B)False

Question 11

The options provided in locator 1 on the CMS-1500 claim form include:

Accepted Answer

A)  five government plans, group health plan, and other. 
B)  five government plans, group health plan, and individual plan. 
C)  four government plans and three private plans. 
D)  eight health plan options. 
A)  five government plans, group health plan, and other. 
B)  five government plans, group health plan, and individual plan. 
C)  four government plans and three private plans. 
D)  eight health plan options.

Question 12

When health claims information is exchanged electronically, both the sender and the receiver must follow what HIPAA transaction standard?

Accepted Answer

A)  5010 
B)  CMS-1500 
C)  OCR 
D)  EMC 
A)  5010 
B)  CMS-1500 
C)  OCR 
D)  EMC

Question 13

A patient information form typically includes:

Accepted Answer

A)  demographic information. 
B)  employment information. 
C)  insurance information. 
D)  all of the above. 
A)  demographic information. 
B)  employment information. 
C)  insurance information. 
D)  all of the above.

Question 14

A physician's Social Security number is always used on the CMS-1500 claim form.

Accepted Answer

A) True 
 B)False

Question 15

According to HIPAA, covered entities for compliance issues include:

Accepted Answer

A)  clearinghouses and billing services only. 
B)  health plans and providers only. 
C)  health plans, clearinghouses, billing services, and providers. 
D)  health plans and clearinghouses only. 
A)  clearinghouses and billing services only. 
B)  health plans and providers only. 
C)  health plans, clearinghouses, billing services, and providers. 
D)  health plans and clearinghouses only.

Question 16

Match the following
-Form used by the provider to document ICD-10 and CPT codes from the patient visit

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 17

Form locator 2 problem: Patient's name and insured's name are entered as the same when the patient is a ________.

Accepted Answer

The answer of Form locator 2 problem: Patient's name and...

Question 18

Explain the two major sections of the CMS-1500 form.

Accepted Answer

The CMS-1500 form is divided i

Question 19

Match the following
-Form that allows payment to be made directly from an insurance carrier to the physician

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 20

The policy in most medical offices is to request that the patient sign and update a release of information form:

Accepted Answer

A)  at every visit. 
B)  once per year. 
C)  every 2 years. 
D)  every 3 years. 
A)  at every visit. 
B)  once per year. 
C)  every 2 years. 
D)  every 3 years.

Medicaid's Early and Periodic Screening, Diagnosis, and Treatment (EPSDT) program in form locator 24H includes all the following reason codes EXCEPT:

If a patient has signed a consent document authorizing release of medical information to the insurance carrier, the notation "Signature on File" or "SOF" may be entered in form locator 12.

Components of the Administration Simplification subsection of HIPAA include all of the following EXCEPT:

If an individual is covered under Plan A through her employment and is covered under Plan B through her spouse's employment:

To submit claims to an insurance carrier, a billing service requires:

The CMS-1500 claim form is mandatory for all Medicare claims.

The form used by the provider to document ICD-10-CM and CPT codes for routine services is referred to as a(n):

A UB-04 claim form is used by:

Why does no standardized superbill form exist?

To authorize the release of information, a patient must sign either form locator 9 on the CMS-1500 form or a consent document with similar wording to be retained in the office files.

The options provided in locator 1 on the CMS-1500 claim form include:

When health claims information is exchanged electronically, both the sender and the receiver must follow what HIPAA transaction standard?

A patient information form typically includes:

A physician's Social Security number is always used on the CMS-1500 claim form.

According to HIPAA, covered entities for compliance issues include:

Match the following -Form used by the provider to document ICD-10 and CPT codes from the patient visit

Form locator 2 problem: Patient's name and insured's name are entered as the same when the patient is a ________.

Explain the two major sections of the CMS-1500 form.

Match the following -Form that allows payment to be made directly from an insurance carrier to the physician

The policy in most medical offices is to request that the patient sign and update a release of information form:

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

Medicaid's Early and Periodic Screening, Diagnosis, and Treatment (EPSDT) program in form locator 24H includes all the following reason codes EXCEPT:

If a patient has signed a consent document authorizing release of medical information to the insurance carrier, the notation "Signature on File" or "SOF" may be entered in form locator 12.

Components of the Administration Simplification subsection of HIPAA include all of the following EXCEPT:

If an individual is covered under Plan A through her employment and is covered under Plan B through her spouse's employment:

To submit claims to an insurance carrier, a billing service requires:

The CMS-1500 claim form is mandatory for all Medicare claims.

The form used by the provider to document ICD-10-CM and CPT codes for routine services is referred to as a(n):

A UB-04 claim form is used by:

Why does no standardized superbill form exist?

To authorize the release of information, a patient must sign either form locator 9 on the CMS-1500 form or a consent document with similar wording to be retained in the office files.

The options provided in locator 1 on the CMS-1500 claim form include:

When health claims information is exchanged electronically, both the sender and the receiver must follow what HIPAA transaction standard?

A patient information form typically includes:

A physician's Social Security number is always used on the CMS-1500 claim form.

According to HIPAA, covered entities for compliance issues include:

Match the following -Form used by the provider to document ICD-10 and CPT codes from the patient visit

Form locator 2 problem: Patient's name and insured's name are entered as the same when the patient is a ________.

Explain the two major sections of the CMS-1500 form.

Match the following -Form that allows payment to be made directly from an insurance carrier to the physician

The policy in most medical offices is to request that the patient sign and update a release of information form:

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