Question 1

What are the four components of HIPAA's Administrative Simplification section?

Accepted Answer

The four components

Question 2

The identification number issued to physicians who are authorized to practice medicine in a given state is the:

Accepted Answer

A)  Social Security number. 
B)  federal tax identification number. 
C)  state license number. 
D)  employer identification number. 
A)  Social Security number. 
B)  federal tax identification number. 
C)  state license number. 
D)  employer identification number.

Question 3

Most providers submit healthcare claims electronically.

Accepted Answer

A) True 
 B)False

Question 4

An audit/edit report from a clearinghouse will show all of the following EXCEPT:

Accepted Answer

A)  claims that need corrections. 
B)  claims that are missing information. 
C)  claims forwarded to the insurance carrier. 
D)  paid claims. 
A)  claims that need corrections. 
B)  claims that are missing information. 
C)  claims forwarded to the insurance carrier. 
D)  paid claims.

Question 5

Claims may require three provider identification numbers.

Accepted Answer

A) True 
 B)False

Question 6

Match the following
-Form that allows protected health information to be sent to an insurance carrier as part of the claims process

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 7

A signature stamp should never be used in place of the physician's original signature on a claim form.

Accepted Answer

A) True 
 B)False

Question 8

A claim can only be submitted to an insurance carrier on the patient's behalf if the patient has signed a(n):

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 9

If more than one physician is involved in a case, what priority order is used to determine the physician listed in form locator 17?

Accepted Answer

A)  ordering provider, referring provider, supervising provider 
B)  referring provider, supervising provider, ordering provider 
C)  supervising provider, ordering provider, referring provider 
D)  referring provider, ordering provider, supervising provider 
A)  ordering provider, referring provider, supervising provider 
B)  referring provider, supervising provider, ordering provider 
C)  supervising provider, ordering provider, referring provider 
D)  referring provider, ordering provider, supervising provider

Question 10

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

Accepted Answer

A)  more than one area of malignancy was located. 
B)  multiple tests were performed. 
C)  the month should be entered as two digits. 
D)  more information is needed before a diagnosis can be determined. 
A)  more than one area of malignancy was located. 
B)  multiple tests were performed. 
C)  the month should be entered as two digits. 
D)  more information is needed before a diagnosis can be determined.

Question 11

Match the following
-The person who purchased an insurance policy

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 12

What is shown on an audit/edit report from a clearinghouse?

Accepted Answer

The report shows which claims

Question 13

The form that allows an insurance company to make payments directly to a physician on behalf of the patient is the ________ form.

Accepted Answer

assignment

Question 14

If required information is missing from a claim form, the medical office specialist will have to correct the claim and resend it for payment.

Accepted Answer

A) True 
 B)False

Question 15

Which of the following statements are true about optical character recognition (OCR) devices?

Accepted Answer

A)  They transfer bar codes to the EHR. 
B)  They digitalize paper records. 
C)  They enable faster claims processing. 
D)  all of the above 
A)  They transfer bar codes to the EHR. 
B)  They digitalize paper records. 
C)  They enable faster claims processing. 
D)  all of the above

Question 16

A claim that is missing information or contains incorrect information is referred to as a(n) ________ claim.

Accepted Answer

The answer of A claim that is missing information or...

Question 17

Most claims to secondary insurance carriers are submitted electronically.

Accepted Answer

A) True 
 B)False

Question 18

Form locator 17, Name of referring provider or other source, can include the name of a relative or friend who referred the patient to the physician's office.

Accepted Answer

A) True 
 B)False

Question 19

A superbill contains all the following EXCEPT:

Accepted Answer

A)  procedures. 
B)  treatments. 
C)  diagnosis. 
D)  weight. 
A)  procedures. 
B)  treatments. 
C)  diagnosis. 
D)  weight.

Question 20

Most physicians bill insurance carriers by completing paper or electronic versions of which form?

Accepted Answer

A)  Verification of benefits form 
B)  CMS-1500 claim form 
C)  UB-04 claim form 
D)  Superbill 
A)  Verification of benefits form 
B)  CMS-1500 claim form 
C)  UB-04 claim form 
D)  Superbill

What are the four components of HIPAA's Administrative Simplification section?

The identification number issued to physicians who are authorized to practice medicine in a given state is the:

Most providers submit healthcare claims electronically.

An audit/edit report from a clearinghouse will show all of the following EXCEPT:

Claims may require three provider identification numbers.

Match the following -Form that allows protected health information to be sent to an insurance carrier as part of the claims process

A signature stamp should never be used in place of the physician's original signature on a claim form.

A claim can only be submitted to an insurance carrier on the patient's behalf if the patient has signed a(n):

If more than one physician is involved in a case, what priority order is used to determine the physician listed in form locator 17?

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

Match the following -The person who purchased an insurance policy

What is shown on an audit/edit report from a clearinghouse?

The form that allows an insurance company to make payments directly to a physician on behalf of the patient is the ________ form.

If required information is missing from a claim form, the medical office specialist will have to correct the claim and resend it for payment.

Which of the following statements are true about optical character recognition (OCR) devices?

A claim that is missing information or contains incorrect information is referred to as a(n) ________ claim.

Most claims to secondary insurance carriers are submitted electronically.

Form locator 17, Name of referring provider or other source, can include the name of a relative or friend who referred the patient to the physician's office.

A superbill contains all the following EXCEPT:

Most physicians bill insurance carriers by completing paper or electronic versions of which 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

What are the four components of HIPAA's Administrative Simplification section?

The identification number issued to physicians who are authorized to practice medicine in a given state is the:

Most providers submit healthcare claims electronically.

An audit/edit report from a clearinghouse will show all of the following EXCEPT:

Claims may require three provider identification numbers.

Match the following -Form that allows protected health information to be sent to an insurance carrier as part of the claims process

A signature stamp should never be used in place of the physician's original signature on a claim form.

A claim can only be submitted to an insurance carrier on the patient's behalf if the patient has signed a(n):

If more than one physician is involved in a case, what priority order is used to determine the physician listed in form locator 17?

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

Match the following -The person who purchased an insurance policy

What is shown on an audit/edit report from a clearinghouse?

The form that allows an insurance company to make payments directly to a physician on behalf of the patient is the ________ form.

If required information is missing from a claim form, the medical office specialist will have to correct the claim and resend it for payment.

Which of the following statements are true about optical character recognition (OCR) devices?

A claim that is missing information or contains incorrect information is referred to as a(n) ________ claim.

Most claims to secondary insurance carriers are submitted electronically.

Form locator 17, Name of referring provider or other source, can include the name of a relative or friend who referred the patient to the physician's office.

A superbill contains all the following EXCEPT:

Most physicians bill insurance carriers by completing paper or electronic versions of which 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