Question 1

The patient information form is standardized and used by all physicians' offices.

Accepted Answer

A) True 
 B)False

Question 2

Most providers submit medical claims:

Accepted Answer

A)  using paper forms and optical scanners. 
B)  by mailing paper forms. 
C)  electronically. 
D)  by faxing paper forms. 
A)  using paper forms and optical scanners. 
B)  by mailing paper forms. 
C)  electronically. 
D)  by faxing paper forms.

Question 3

In what type of situation must an attachment be submitted with a claim?

Accepted Answer

In some cases, the carrier requires addi

Question 4

Scrambling electronic information during transmission to prevent it from being intercepted or read by unauthorized users is a process known as:

Accepted Answer

A)  electronic data transmission. 
B)  encryption. 
C)  optical character recognition (OCR). 
D)  transcription. 
A)  electronic data transmission. 
B)  encryption. 
C)  optical character recognition (OCR). 
D)  transcription.

Question 5

When completing the CMS-1500 form, providers and suppliers have the option of entering either a six- or eight-digit date format.

Accepted Answer

A) True 
 B)False

Question 6

If an insured patient signs an Assignment of Benefits form, the insurance carrier will send payment directly to the:

Accepted Answer

A)  bank. 
B)  guarantor. 
C)  patient. 
D)  physician. 
A)  bank. 
B)  guarantor. 
C)  patient. 
D)  physician.

Question 7

Match the following
-Form containing demographic, employment, and insurance information about a patient

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 8

The person who is ultimately responsible for paying for medical services is known as the ________.

Accepted Answer

The answer of The person who is ultimately responsible for...

Question 9

A company that receives claims from providers, audits them, and forwards them on to insurance carriers is a(n):

Accepted Answer

A)  billing service. 
B)  independent auditing firm. 
C)  clearinghouse. 
D)  third-party administrator. 
A)  billing service. 
B)  independent auditing firm. 
C)  clearinghouse. 
D)  third-party administrator.

Question 10

The scrambling of information during electronic claims submission to prevent it from being read by unauthorized individuals is known as ________.

Accepted Answer

The answer of The scrambling of information during electronic claims...

Question 11

If a patient is the primary policyholder on two insurance plans, the primary plan is considered:

Accepted Answer

A)  the plan with the highest level of benefits. 
B)  the plan in effect for the longest period of time. 
C)  the plan that has the highest premium. 
D)  the plan in effect for the shortest period of time. 
A)  the plan with the highest level of benefits. 
B)  the plan in effect for the longest period of time. 
C)  the plan that has the highest premium. 
D)  the plan in effect for the shortest period of time.

Question 12

What type of information does the patient provide on the patient information form?

Accepted Answer

The form includes de

Question 13

Clearinghouses charge providers based on which type of payment system?

Accepted Answer

A)  A percentage of each claim's dollar value 
B)  A flat fee per claim 
C)  Per diem 
D)  Both A and B 
A)  A percentage of each claim's dollar value 
B)  A flat fee per claim 
C)  Per diem 
D)  Both A and B

Question 14

Confirmation of a patient's insurance coverage is usually done online, but when it is done by phone, the medical office specialist can record answers to questions on a worksheet called a(n):

Accepted Answer

A)  assignment of benefits form. 
B)  patient information form. 
C)  release of information form. 
D)  verification of benefits form. 
A)  assignment of benefits form. 
B)  patient information form. 
C)  release of information form. 
D)  verification of benefits form.

Question 15

If a patient wishes insurance payments to be made directly to the provider, the patient must sign which type of form?

Accepted Answer

A)  Assignment of benefits form 
B)  Explanation of benefits form 
C)  Patient information form 
D)  Release of information form 
A)  Assignment of benefits form 
B)  Explanation of benefits form 
C)  Patient information form 
D)  Release of information form

Question 16

The subsection of HIPAA that regulates electronic billing is known as the:

Accepted Answer

A)  Electronic Data Interchange. 
B)  Administrative Simplification. 
C)  Privacy and Security Standard. 
D)  False Claims 
A)  Electronic Data Interchange. 
B)  Administrative Simplification. 
C)  Privacy and Security Standard. 
D)  False Claims

Question 17

The source document used by a medical office specialist to enter patient encounter data into a computerized accounting system is the superbill.

Accepted Answer

A) True 
 B)False

Question 18

A company that receives claims from providers, audits them to check for errors, and forwards them to insurance carriers for payment is a(n) ________.

Accepted Answer

The answer of A company that receives claims from providers,...

Question 19

A limited insurance policy purchased to cover part of the patient's expenses, such as coinsurance, for which the patient would otherwise be responsible, is:

Accepted Answer

A)  secondary insurance. 
B)  supplemental insurance. 
C)  additional insurance. 
D)  optional insurance. 
A)  secondary insurance. 
B)  supplemental insurance. 
C)  additional insurance. 
D)  optional insurance.

Question 20

An advantage of filing claims electronically is:

Accepted Answer

A)  lower administrative costs. 
B)  fewer claim rejections. 
C)  faster payment. 
D)  all of the above. 
A)  lower administrative costs. 
B)  fewer claim rejections. 
C)  faster payment. 
D)  all of the above.

The patient information form is standardized and used by all physicians' offices.

Most providers submit medical claims:

In what type of situation must an attachment be submitted with a claim?

Scrambling electronic information during transmission to prevent it from being intercepted or read by unauthorized users is a process known as:

When completing the CMS-1500 form, providers and suppliers have the option of entering either a six- or eight-digit date format.

If an insured patient signs an Assignment of Benefits form, the insurance carrier will send payment directly to the:

Match the following -Form containing demographic, employment, and insurance information about a patient

The person who is ultimately responsible for paying for medical services is known as the ________.

A company that receives claims from providers, audits them, and forwards them on to insurance carriers is a(n):

The scrambling of information during electronic claims submission to prevent it from being read by unauthorized individuals is known as ________.

If a patient is the primary policyholder on two insurance plans, the primary plan is considered:

What type of information does the patient provide on the patient information form?

Clearinghouses charge providers based on which type of payment system?

Confirmation of a patient's insurance coverage is usually done online, but when it is done by phone, the medical office specialist can record answers to questions on a worksheet called a(n):

If a patient wishes insurance payments to be made directly to the provider, the patient must sign which type of form?

The subsection of HIPAA that regulates electronic billing is known as the:

The source document used by a medical office specialist to enter patient encounter data into a computerized accounting system is the superbill.

A company that receives claims from providers, audits them to check for errors, and forwards them to insurance carriers for payment is a(n) ________.

A limited insurance policy purchased to cover part of the patient's expenses, such as coinsurance, for which the patient would otherwise be responsible, is:

An advantage of filing claims electronically is:

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 patient information form is standardized and used by all physicians' offices.

Most providers submit medical claims:

In what type of situation must an attachment be submitted with a claim?

Scrambling electronic information during transmission to prevent it from being intercepted or read by unauthorized users is a process known as:

When completing the CMS-1500 form, providers and suppliers have the option of entering either a six- or eight-digit date format.

If an insured patient signs an Assignment of Benefits form, the insurance carrier will send payment directly to the:

Match the following -Form containing demographic, employment, and insurance information about a patient

The person who is ultimately responsible for paying for medical services is known as the ________.

A company that receives claims from providers, audits them, and forwards them on to insurance carriers is a(n):

The scrambling of information during electronic claims submission to prevent it from being read by unauthorized individuals is known as ________.

If a patient is the primary policyholder on two insurance plans, the primary plan is considered:

What type of information does the patient provide on the patient information form?

Clearinghouses charge providers based on which type of payment system?

Confirmation of a patient's insurance coverage is usually done online, but when it is done by phone, the medical office specialist can record answers to questions on a worksheet called a(n):

If a patient wishes insurance payments to be made directly to the provider, the patient must sign which type of form?

The subsection of HIPAA that regulates electronic billing is known as the:

The source document used by a medical office specialist to enter patient encounter data into a computerized accounting system is the superbill.

A company that receives claims from providers, audits them to check for errors, and forwards them to insurance carriers for payment is a(n) ________.

A limited insurance policy purchased to cover part of the patient's expenses, such as coinsurance, for which the patient would otherwise be responsible, is:

An advantage of filing claims electronically is:

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