Exam 14: Medicaid Medical Billing
Exam 1: Introduction to Professional Billing and Coding Careers90 Questions
Exam 2: Understanding Managed Care: Insurance Plans92 Questions
Exam 3: Understanding Managed Care: Medical Contracts and Ethics91 Questions
Exam 4: Hipaa: Health Insurance Portability and Accountability Act of 199691 Questions
Exam 5: ICD-9-CM Medical Coding91 Questions
Exam 6: ICD-10-CM Medical Coding91 Questions
Exam 7: Introduction to Cpt and Place of Service Coding91 Questions
Exam 8: Coding Procedures and Services91 Questions
Exam 9: Hcpcs and Coding Compliance91 Questions
Exam 10: Auditing91 Questions
Exam 11: Physician Medical Billing91 Questions
Exam 12: Hospital Medical Billing90 Questions
Exam 13: Medicare Medical Billing89 Questions
Exam 14: Medicaid Medical Billing91 Questions
Exam 15: Tricare Medical Billing90 Questions
Exam 16: Explanation of Benefits and Payment Adjudication88 Questions
Exam 17: Refunds and Appeals91 Questions
Exam 18: Workers Compensation90 Questions
Exam 19: Electronic Medical Claims Processing91 Questions
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The largest funding for healthcare for America's low-income individuals comes from:
A)Medicare.
B)Medicaid.
C)private insurance.
D)individuals.
(Short Answer)
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What are some of the specific services that may be available under Medi-Medi?
(Essay)
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The code ST used in form locator 24H in regard to early and periodic screening, diagnosis, and treatment (EPSDT) services means:
A)services were not available.
B)services were available and used.
C)new services were requested.
D)services were available but not authorized.
(Short Answer)
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If a Medicaid claim was NOT filed within the required time limits because of an error or neglect on the part of the medical office staff, the physician can appeal the denial and seek payment.
(True/False)
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States determine the amount and duration of Medicaid services and can set limits based on medical diagnoses or conditions.
(True/False)
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Providers participating in Medicaid must accept the Medicaid payment rate as payment in full and cannot balance-bill the patient.
(True/False)
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Medicaid patients enrolled in managed care plans must select a primary care provider.
(True/False)
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Eligibility for Temporary Assistance for Needy Families (TANF) is determined by the:
A)city.
B)county.
C)state.
D)nation.
(Short Answer)
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Due to the Affordable Care Act of 2010, millions more low-income Americans will be eligible for Medicaid coverage as of:
A)2013.
B)2014.
C)2015.
D)2016.
(Short Answer)
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A physician may bill a Medicaid patient for services if the:
A)service was not medically necessary.
B)patient signed an advance beneficiary notice (ABN).
C)claim was not filed in a timely manner.
D)necessary preauthorization was not obtained.
(Short Answer)
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Those Medicaid beneficiaries who are excluded from cost-sharing provisions include:
A)the blind.
B)the elderly.
C)pregnant women.
D)the disabled.
(Short Answer)
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