Question 1

Electronic data interchange is

Accepted Answer

A)   transferring data back and forth between two or more entities.
B)   sending information to one insurance carrier.
C)   sending information to one clearinghouse for processing.
D)   None of the aboveE) All of the above
F) B) and C)

Question 2

To examine claims for accuracy and completeness before they are submitted is to _________ the claims.

Accepted Answer

A)   correct
B)   audit
C)   revise
D)   rejectE) B) and C)
F) C) and D)

Question 3

A secondary health plan is noted in which block?

Accepted Answer

A)   11a
B)   11b
C)   11c
D)   11dE) All of the above
F) A) and C)

Question 4

Claims that are done by direct billing first go to a clearinghouse.

Accepted Answer

A) True 
 B)False

Question 5

Dirty claims cannot be resubmitted.

Accepted Answer

A) True 
 B)False

Question 6

Which of the following steps to medical billing should be performed prior to rendering medical services?

Accepted Answer

A)   Verify the patient's eligibility for insurance coverage
B)   Collect patient insurance information
C)   Code the diagnosis and procedures
D)   Complete the CMS-1500 health insurance claim form
E)   Both A and BF) A) and E)
G) A) and D)

Question 7

Secondary insurance policy information is contained in block __________.

Accepted Answer

The answer of Secondary insurance policy information is contained in...

Question 8

Which of the following is a fixed amount per visit and is typically paid at the time of medical services?

Accepted Answer

A)   Co-payment
B)   Deductible
C)   Co-insurance
D)   Both A and BE) C) and D)
F) None of the above

Question 9

Insurance information should be collected on the first visit.

Accepted Answer

A) True 
 B)False

Question 10

The Federal Tax ID number (Box 25)  for the provider filing the claim can be presented as

Accepted Answer

A)   Social Security Number (SSN) .
B)   Employer Identification Number (EIN) .
C)   National Provider Identification (NPI) .
D)   Both A and B
E)   All of the aboveF) C) and E)
G) None of the above

Exam 15: Medical Billing and Reimbursement

Which of the following is a fixed amount per visit and is typically paid at the time of medical services?

Correct Answer
verified

Insurance information should be collected on the first visit.

Correct Answer
verified

A secondary health plan is noted in which block?

Correct Answer
verified

Dirty claims cannot be resubmitted.

Correct Answer
verified

Which of the following steps to medical billing should be performed prior to rendering medical services?

Correct Answer
verified

The Federal Tax ID number (Box 25) for the provider filing the claim can be presented as

Correct Answer
verified

Claims that are done by direct billing first go to a clearinghouse.

Correct Answer
verified

Secondary insurance policy information is contained in block __________.

Correct Answer
verified

To examine claims for accuracy and completeness before they are submitted is to _________ the claims.

Correct Answer
verified

Electronic data interchange is

Correct Answer
verified

Exam 15: Medical Billing and Reimbursement

Which of the following is a fixed amount per visit and is typically paid at the time of medical services?

Correct AnswerverifiedShow Answer

Insurance information should be collected on the first visit.

Correct AnswerverifiedShow Answer

A secondary health plan is noted in which block?

Correct AnswerverifiedShow Answer

Dirty claims cannot be resubmitted.

Correct AnswerverifiedShow Answer

Which of the following steps to medical billing should be performed prior to rendering medical services?

Correct AnswerverifiedShow Answer

The Federal Tax ID number (Box 25) for the provider filing the claim can be presented as

Correct AnswerverifiedShow Answer

Claims that are done by direct billing first go to a clearinghouse.

Correct AnswerverifiedShow Answer

Secondary insurance policy information is contained in block __________.

Correct AnswerverifiedShow Answer

To examine claims for accuracy and completeness before they are submitted is to _________ the claims.

Correct AnswerverifiedShow Answer

Electronic data interchange is

Correct AnswerverifiedShow Answer

Correct Answer
verified

Correct Answer
verified

Correct Answer
verified

Correct Answer
verified

Correct Answer
verified

Correct Answer
verified

Correct Answer
verified

Correct Answer
verified

Correct Answer
verified

Correct Answer
verified