Question 1

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

Accepted Answer

The form includes de

Question 2

All of the following statements are true about optical character recognition (OCR) devices EXCEPT that they:

Accepted Answer

A) are used in processing electronic claims. 
B) improve accuracy. 
C) enable faster claims processing. 
D) reduce the cost of data entry. 
A) are used in processing electronic claims. 
B) improve accuracy. 
C) enable faster claims processing. 
D) reduce the cost of data entry.

Question 3

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

Accepted Answer

the plan in effect f

Question 4

Optical character recognition (OCR) guidelines require adherence to specific standards for the size and alignment of printed characters.

Accepted Answer

A) True 
 B)False

Question 5

Form locator 17, Name of Referring Physician 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 6

When a patient has more than one insurance policy, one policy is considered the primary coverage and the additional policy is:
A)secondary insurance.
B)supplementary insurance.
C)additional insurance.
D)individual insurance.

Accepted Answer

secondary

Question 7

To what does the term healthcare information refer?

Accepted Answer

Information recorded in any form or medi

Question 8

The options provided in locator 1 on the CMS-1500 claim form include:
A)five government plans, group health plan, and other.
B)five government plans, group health plan, and individual plan.
C)four government plans and three private plans.
D)eight health plan options.

Accepted Answer

five government plan

Question 9

A UB-04 claim form is used by:
A)physician offices.
B)hospitals.
C)surgeons.
D)therapists.

Accepted Answer

The answer of A UB-04 claim form is used by:
A)physician...

Question 10

A physician's Social Security number is always used on the CMS-1500 claim form.

Accepted Answer

A) True 
 B)False

Question 11

An audit/edit report from a clearinghouse will show all of the following EXCEPT:
A)claims that need corrections.
B)claims that are missing information.
C)claims forwarded to the insurance carrier.
D)paid claims.

Accepted Answer

The answer of An audit/edit report from a clearinghouse will...

Question 12

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

Accepted Answer

The report shows which claims

Question 13

Most providers submit healthcare claims electronically.

Accepted Answer

A) True 
 B)False

Question 14

The majority of income in a physician's office comes from:
A)bank loans.
B)payments from insurance companies.
C)payments from patients.
D)private donations.

Accepted Answer

payments f

Question 15

A disadvantage of filing electronic claims is:
A)increased claim rejections.
B)increased administrative costs.
C)inability to create an electronic attachment.
D)inability to audit claims.

Accepted Answer

inability

Question 16

A patient information form typically includes:
A)demographic information.
B)employment information.
C)insurance information.
D)all of the above.

Accepted Answer

The answer of A patient information form typically includes:
A)demographic information.
B)employment...

Question 17

What is meant by the birthday rule?

Accepted Answer

If both parents have policies

Question 18

If a patient has more than one insurance plan, the determination of how much will be paid by each is known as:
A)assignment of benefits.
B)the birthday rule.
C)coordination of benefits.
D)verification of benefits.

Accepted Answer

coordinati

Question 19

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 20

According to HIPAA, covered entities for compliance issues include:
A)clearinghouses and billing services only.
B)health plans and providers only.
C)health plans, clearinghouses, billing services, and providers.
D)health plans and clearinghouses only.

Accepted Answer

health plans, cleari

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

All of the following statements are true about optical character recognition (OCR) devices EXCEPT that they:

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

Optical character recognition (OCR) guidelines require adherence to specific standards for the size and alignment of printed characters.

Form locator 17, Name of Referring Physician or Other Source, can include the name of a relative or friend who referred the patient to the physician's office.

When a patient has more than one insurance policy, one policy is considered the primary coverage and the additional policy is: A)secondary insurance. B)supplementary insurance. C)additional insurance. D)individual insurance.

To what does the term healthcare information refer?

The options provided in locator 1 on the CMS-1500 claim form include: A)five government plans, group health plan, and other. B)five government plans, group health plan, and individual plan. C)four government plans and three private plans. D)eight health plan options.

A UB-04 claim form is used by: A)physician offices. B)hospitals. C)surgeons. D)therapists.

A physician's Social Security number is always used on the CMS-1500 claim form.

An audit/edit report from a clearinghouse will show all of the following EXCEPT: A)claims that need corrections. B)claims that are missing information. C)claims forwarded to the insurance carrier. D)paid claims.

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

Most providers submit healthcare claims electronically.

The majority of income in a physician's office comes from: A)bank loans. B)payments from insurance companies. C)payments from patients. D)private donations.

A disadvantage of filing electronic claims is: A)increased claim rejections. B)increased administrative costs. C)inability to create an electronic attachment. D)inability to audit claims.

A patient information form typically includes: A)demographic information. B)employment information. C)insurance information. D)all of the above.

What is meant by the birthday rule?

If a patient has more than one insurance plan, the determination of how much will be paid by each is known as: A)assignment of benefits. B)the birthday rule. C)coordination of benefits. D)verification of benefits.

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

According to HIPAA, covered entities for compliance issues include: A)clearinghouses and billing services only. B)health plans and providers only. C)health plans, clearinghouses, billing services, and providers. D)health plans and clearinghouses only.

Introduction to Professional Billing and Coding Careers

Understanding Managed Care: Insurance Plans

Understanding Managed Care: Medical Contracts and Ethics

Hipaa: Health Insurance Portability and Accountability Act of 1996

ICD-9-CM Medical Coding

ICD-10-CM Medical Coding

Introduction to Cpt and Place of Service Coding

Coding Procedures and Services

Hcpcs and Coding 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

Electronic Medical Claims Processing

Filters

Exam 11: Physician Medical Billing

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

All of the following statements are true about optical character recognition (OCR) devices EXCEPT that they:

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

Optical character recognition (OCR) guidelines require adherence to specific standards for the size and alignment of printed characters.

Form locator 17, Name of Referring Physician or Other Source, can include the name of a relative or friend who referred the patient to the physician's office.

When a patient has more than one insurance policy, one policy is considered the primary coverage and the additional policy is: A)secondary insurance. B)supplementary insurance. C)additional insurance. D)individual insurance.

To what does the term healthcare information refer?

The options provided in locator 1 on the CMS-1500 claim form include: A)five government plans, group health plan, and other. B)five government plans, group health plan, and individual plan. C)four government plans and three private plans. D)eight health plan options.

A UB-04 claim form is used by: A)physician offices. B)hospitals. C)surgeons. D)therapists.

A physician's Social Security number is always used on the CMS-1500 claim form.

An audit/edit report from a clearinghouse will show all of the following EXCEPT: A)claims that need corrections. B)claims that are missing information. C)claims forwarded to the insurance carrier. D)paid claims.

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

Most providers submit healthcare claims electronically.

The majority of income in a physician's office comes from: A)bank loans. B)payments from insurance companies. C)payments from patients. D)private donations.

A disadvantage of filing electronic claims is: A)increased claim rejections. B)increased administrative costs. C)inability to create an electronic attachment. D)inability to audit claims.

A patient information form typically includes: A)demographic information. B)employment information. C)insurance information. D)all of the above.

What is meant by the birthday rule?

If a patient has more than one insurance plan, the determination of how much will be paid by each is known as: A)assignment of benefits. B)the birthday rule. C)coordination of benefits. D)verification of benefits.

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

According to HIPAA, covered entities for compliance issues include: A)clearinghouses and billing services only. B)health plans and providers only. C)health plans, clearinghouses, billing services, and providers. D)health plans and clearinghouses only.

Introduction to Professional Billing and Coding Careers

Understanding Managed Care: Insurance Plans

Understanding Managed Care: Medical Contracts and Ethics

Hipaa: Health Insurance Portability and Accountability Act of 1996

ICD-9-CM Medical Coding

ICD-10-CM Medical Coding

Introduction to Cpt and Place of Service Coding

Coding Procedures and Services

Hcpcs and Coding 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

Electronic Medical Claims Processing

Filters