Question 1

Electronic claims are entered into a computer system and then printed out to be filed in the patient's medical record.

Accepted Answer

A) True 
 B)False

Question 2

Match the following
-A company hired by physician offices to file claims on their behalf

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 3

If needed information is missing from a claim when it is submitted to an insurance carrier, it is referred to as a(n):

Accepted Answer

A)  clean claim. 
B)  dirty claim. 
C)  erroneous claim. 
D)  incomplete claim. 
A)  clean claim. 
B)  dirty claim. 
C)  erroneous claim. 
D)  incomplete claim.

Question 4

Match the following
-Claim form used to report services provided by physicians

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 5

The place of service code is mandatory for all claims submitted to Medicare.

Accepted Answer

A) True 
 B)False

Question 6

The form that specifies which information from the medical chart may be released and to whom is a(n) ________ form.

Accepted Answer

release of

Question 7

What information should be filled out in form locator 28?

Accepted Answer

A)  patient's account number. 
B)  total charges. 
C)  amount paid. 
D)  physician's federal tax ID number. 
A)  patient's account number. 
B)  total charges. 
C)  amount paid. 
D)  physician's federal tax ID number.

Question 8

The diagnosis code required in form locator 24E is the:

Accepted Answer

A)  ICD-10-CM code describing the patient condition. 
B)  number of the diagnosis code listed in form locator 21 that points to the related service. 
C)  number of diagnostic tests performed to justify the physician's diagnosis. 
D)  diagnostic modifier, if applicable. 
A)  ICD-10-CM code describing the patient condition. 
B)  number of the diagnosis code listed in form locator 21 that points to the related service. 
C)  number of diagnostic tests performed to justify the physician's diagnosis. 
D)  diagnostic modifier, if applicable.

Question 9

On the CMS-1500 claim form, the abbreviation EIN refers to:

Accepted Answer

A)  Employer Identification Number. 
B)  Employer Identifier for National Coverage. 
C)  Estimated Insurance Number for payment. 
D)  Examination Indicates Nothing. 
A)  Employer Identification Number. 
B)  Employer Identifier for National Coverage. 
C)  Estimated Insurance Number for payment. 
D)  Examination Indicates Nothing.

Question 10

Electronic claims can be submitted:

Accepted Answer

A)  directly to the carrier. 
B)  through a clearinghouse. 
C)  through a billing service. 
D)  all of the above. 
A)  directly to the carrier. 
B)  through a clearinghouse. 
C)  through a billing service. 
D)  all of the above.

Question 11

If a patient is covered by more than one health plan, form locator 11d is answered Yes and form locators 9, 9a, and 9d must be completed.

Accepted Answer

A) True 
 B)False

Question 12

A company that provides data processing and claims processing services to physician's offices 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 13

ICD-10 codes in form locator 21 should be listed in order of precedence with number 1 being the primary diagnosis.

Accepted Answer

A) True 
 B)False

Question 14

A disadvantage of filing electronic claims is:

Accepted Answer

A)  increased claim rejections. 
B)  increased administrative costs. 
C)  inability to create an electronic attachment. 
D)  inability to audit claims. 
A)  increased claim rejections. 
B)  increased administrative costs. 
C)  inability to create an electronic attachment. 
D)  inability to audit claims.

Question 15

Place of service codes used in form locator 24B include all of the following EXCEPT:

Accepted Answer

A)  private residence. 
B)  urgent care facility. 
C)  operating room. 
D)  independent laboratory. 
A)  private residence. 
B)  urgent care facility. 
C)  operating room. 
D)  independent laboratory.

Question 16

Physicians bill insurance carriers using a universal form, the________ claim form.

Accepted Answer

The answer of Physicians bill insurance carriers using a universal...

Question 17

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

Accepted Answer

A)  an employer identifier number must be entered. 
B)  it must be noted if emergency services were provided. 
C)  it must be noted if preauthorization was obtained. 
D)  it must be noted if the service is considered emerging or experimental. 
A)  an employer identifier number must be entered. 
B)  it must be noted if emergency services were provided. 
C)  it must be noted if preauthorization was obtained. 
D)  it must be noted if the service is considered emerging or experimental.

Question 18

Claims may require provider identification numbers for the:

Accepted Answer

A)  ordering physician. 
B)  referring physician. 
C)  performing physician. 
D)  all of the above. 
A)  ordering physician. 
B)  referring physician. 
C)  performing physician. 
D)  all of the above.

Question 19

Match the following
-The company that provides data- and claims-processing services to physicians' offices for a fee

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

Examples of standard code sets recognized under HIPAA include:

Accepted Answer

A)  CPT codes. 
B)  HCPCS codes. 
C)  ICD-10-CM codes. 
D)  all of the above. 
A)  CPT codes. 
B)  HCPCS codes. 
C)  ICD-10-CM codes. 
D)  all of the above.

Electronic claims are entered into a computer system and then printed out to be filed in the patient's medical record.

Match the following -A company hired by physician offices to file claims on their behalf

If needed information is missing from a claim when it is submitted to an insurance carrier, it is referred to as a(n):

Match the following -Claim form used to report services provided by physicians

The place of service code is mandatory for all claims submitted to Medicare.

The form that specifies which information from the medical chart may be released and to whom is a(n) ________ form.

What information should be filled out in form locator 28?

The diagnosis code required in form locator 24E is the:

On the CMS-1500 claim form, the abbreviation EIN refers to:

Electronic claims can be submitted:

If a patient is covered by more than one health plan, form locator 11d is answered Yes and form locators 9, 9a, and 9d must be completed.

A company that provides data processing and claims processing services to physician's offices is a(n):

ICD-10 codes in form locator 21 should be listed in order of precedence with number 1 being the primary diagnosis.

A disadvantage of filing electronic claims is:

Place of service codes used in form locator 24B include all of the following EXCEPT:

Physicians bill insurance carriers using a universal form, the________ claim form.

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

Claims may require provider identification numbers for the:

Match the following -The company that provides data- and claims-processing services to physicians' offices for a fee

Examples of standard code sets recognized under HIPAA include:

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

Electronic claims are entered into a computer system and then printed out to be filed in the patient's medical record.

Match the following -A company hired by physician offices to file claims on their behalf

If needed information is missing from a claim when it is submitted to an insurance carrier, it is referred to as a(n):

Match the following -Claim form used to report services provided by physicians

The place of service code is mandatory for all claims submitted to Medicare.

The form that specifies which information from the medical chart may be released and to whom is a(n) ________ form.

What information should be filled out in form locator 28?

The diagnosis code required in form locator 24E is the:

On the CMS-1500 claim form, the abbreviation EIN refers to:

Electronic claims can be submitted:

If a patient is covered by more than one health plan, form locator 11d is answered Yes and form locators 9, 9a, and 9d must be completed.

A company that provides data processing and claims processing services to physician's offices is a(n):

ICD-10 codes in form locator 21 should be listed in order of precedence with number 1 being the primary diagnosis.

A disadvantage of filing electronic claims is:

Place of service codes used in form locator 24B include all of the following EXCEPT:

Physicians bill insurance carriers using a universal form, the________ claim form.

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

Claims may require provider identification numbers for the:

Match the following -The company that provides data- and claims-processing services to physicians' offices for a fee

Examples of standard code sets recognized under HIPAA include:

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