Question 1

The Patient Protection and Affordable Care Act included a provision that limited timely filing of Medicare claims to:

Accepted Answer

A)  90 days from the date(s) of service. 
B)  October 1 of the year following the date(s) of service. 
C)  one year from the date of service(s). 
D)  December 1 of the year in which services were rendered. 
A)  90 days from the date(s) of service. 
B)  October 1 of the year following the date(s) of service. 
C)  one year from the date of service(s). 
D)  December 1 of the year in which services were rendered.

Question 2

If individuals do not sign up for Medicare Part B when first becoming eligible and later decide to enroll,the monthly premiums may be higher due to penalties.

Accepted Answer

A) True 
 B)False

Question 3

In 2012,ASC X12 Version 5010 replaced Version 4010/4010A1 as the standard for all HIPAA covered transactions.

Accepted Answer

A) True 
 B)False

Question 4

Fees that Medicare permits for a particular procedure,service,or supply are called:

Accepted Answer

A)  UCR fees. 
B)  cap limits. 
C)  restrictive fees. 
D)  allowable fees. 
A)  UCR fees. 
B)  cap limits. 
C)  restrictive fees. 
D)  allowable fees.

Question 5

What current Medicare Part D regulation will be phased out by 2020 and how will this be accomplished?

Accepted Answer

By 2020,the Part D "donut hole

The Patient Protection and Affordable Care Act included a provision that limited timely filing of Medicare claims to:

If individuals do not sign up for Medicare Part B when first becoming eligible and later decide to enroll,the monthly premiums may be higher due to penalties.

In 2012,ASC X12 Version 5010 replaced Version 4010/4010A1 as the standard for all HIPAA covered transactions.

Fees that Medicare permits for a particular procedure,service,or supply are called:

What current Medicare Part D regulation will be phased out by 2020 and how will this be accomplished?

The Origins of Health Insurance

Tools of the Trade: A Career as a Health (Medical)Insurance Professional

The Legal and Ethical Side of Medical Insurance

Types and Sources of Health Insurance

Claim Submission Methods

Traditional Fee For Service/Private Plans

Unraveling the Mysteries of Managed Care

Understanding Medicaid

Military Carriers

Miscellaneous Carriers: Workers’ Compensation and Disability Insurance

Diagnostic Coding

Procedural, Evaluation and Management, and HCPCS Coding

The Patient

Keys to Successful Claims Management

The Role of Computers in Health Insurance

Reimbursement Procedures: Getting Paid

Hospital Billing and the UB-04

Filters

Exam 9: Conquering Medicare’s Challenges

The Patient Protection and Affordable Care Act included a provision that limited timely filing of Medicare claims to:

If individuals do not sign up for Medicare Part B when first becoming eligible and later decide to enroll,the monthly premiums may be higher due to penalties.

In 2012,ASC X12 Version 5010 replaced Version 4010/4010A1 as the standard for all HIPAA covered transactions.

Fees that Medicare permits for a particular procedure,service,or supply are called:

What current Medicare Part D regulation will be phased out by 2020 and how will this be accomplished?

The Origins of Health Insurance

Tools of the Trade: A Career as a Health (Medical)Insurance Professional

The Legal and Ethical Side of Medical Insurance

Types and Sources of Health Insurance

Claim Submission Methods

Traditional Fee For Service/Private Plans

Unraveling the Mysteries of Managed Care

Understanding Medicaid

Military Carriers

Miscellaneous Carriers: Workers’ Compensation and Disability Insurance

Diagnostic Coding

Procedural, Evaluation and Management, and HCPCS Coding

The Patient

Keys to Successful Claims Management

The Role of Computers in Health Insurance

Reimbursement Procedures: Getting Paid

Hospital Billing and the UB-04

Filters