Question 1

What services would be covered under Medicare Part A?

Accepted Answer

A)  Hospital inpatient services 
B)  Ambulatory surgery 
C)  Outpatient laboratory 
D)  Physician services

Question 2

The Medicaid program is intended for individuals who:

Accepted Answer

A)  are homeless. 
B)  are unemployed. 
C)  are indigent or medically needy. 
D)  have no insurance.

Question 3

What are the three types of CHAMPUS/TRICARE products available to military and their families?

Accepted Answer

The answer of What are the three types of CHAMPUS/TRICARE...

Question 4

Revenue codes are two-digit codes that identify department services.

Accepted Answer

A) True 
 B)False

Question 5

Define a managed care plan.

Accepted Answer

The answer of Define a managed care plan....

Question 6

Formerly known as CHAMPUS/CHAMPVA, the type of carrier available to active and/or retired military and their qualifying family members is:

Accepted Answer

A)  COBRA. 
B)  HMO. 
C)  TRICARE. 
D)  Blue Cross/Blue Shield.

Question 7

When a Medicare Advance Beneficiary Notice (ABN) has been obtained, what modifier code should be appended to the service to indicate the appropriate form has been received and was signed by the patient in accordance with Medicare guidelines?

Accepted Answer

A)  Modifier ABN 
B)  Modifier GA 
C)  Modifier GZ 
D)  Modifier 52

Question 8

Name several reimbursement methodologies utilized for facility reimbursement.

Accepted Answer

The answer of Name several reimbursement methodologies utilized for facility...

Question 9

The name given to the insurance carriers that process Medicare claims under guidelines from CMS are referred to as:

Accepted Answer

A)  Medicare Administrative Contractors (MACs) 
B)  agents of trust. 
C)  primary care contractors. 
D)  RACs.

Exam 3: Hospital Billing Overview