The Medical Assistant Study Set 2

Medicine

Quiz 15 :
Medical Billing and Reimbursement

Quiz 15 :
Medical Billing and Reimbursement

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Electronic data interchange is
Free
Multiple Choice
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Answer:

A

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To examine claims for accuracy and completeness before they are submitted is to _________ the claims.
Free
Multiple Choice
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Answer:

B

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Block 1 of the CMS-1500 contains what information?
Free
Multiple Choice
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Answer:

C

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A secondary health plan is noted in which block?
Multiple Choice
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Which of the following steps to medical billing should be performed prior to rendering medical services?
Multiple Choice
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Preauthorization specifically determines the dollar amount approved for the medical procedure, while precertification gives the provider approval to render the medical service.
Multiple Choice
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When completing the CMS-1500 Form, which section contains information about the patient and the insured?
Multiple Choice
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The Federal Tax ID number (Box 25) for the provider filing the claim can be presented as
Multiple Choice
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Which of the following is a common reason why insurance claims are rejected?
Multiple Choice
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Which of the following is typically documented in the estimation of benefits (EOB)?
Multiple Choice
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Which of the following is a fixed amount per visit and is typically paid at the time of medical services?
Multiple Choice
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Patients sign an __________ of benefits form so that the physician will receive payment for services directly.
Short Answer
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A(n) __________ claim has been completed accurately and completely.
Short Answer
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Claims submitted to a(n) __________ are forwarded to individual insurance carriers.
Short Answer
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A claim that is missing information and is returned to the provider for correction and resubmission is called a(n) __________ claim.
Short Answer
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The medical assistant should __________ the front and back of the patient's insurance card.
Short Answer
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The federal tax identification number is found in block __________.
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The charges for procedures are listed in column __________ of block 24.
Short Answer
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Procedure code modifiers are found in column __________ of block 24.
Short Answer
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The abbreviation often used in blocks 12, 13, and 31 is __________.
Short Answer
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