FREE AND STUDY GAMES ABOUT BILLING AND CODING

PDF Download

FREE AND STUDY GAMES ABOUT BILLING AND CODING

EXAM QUESTIONS

Actual Qs and Ans Expert-Verified Explanation

This Exam contains:

-Guarantee passing score -52 Questions and Answers -format set of multiple-choice -Expert-Verified Explanation

Question 1: Which of the following is a characteristic of Medicaid?

Answer:

is a health cost assistance program Question 2: In most cases, the insured person pays an annual cost or ____ for healthcare insurance

Answer:

premium

Question 3: To be covered under Medicare Part B, patients must ____.

Answer:

qualify for part A, but sign up for B Question 4: When unbundling is done intentionally to receive more payment than is allowed, the claim is likely to be considered

Answer:

fraudulent

Question 5: How much will a medical practice generally receive if a physician charges $100 for services and the patient pays by credit card?

Answer:

$95-$99

Question 6: Which of the following is not one of the six main sections in the CPT manual?

Answer:

Physical therapy Question 7: The benefit period for Medicare begins the day a patient goes into the hospital and ends when that patient has not been hospitalized for ____ days.

Answer:

60

Question 8: The Alphabetic Index is organized by ____.

Answer:

diagnosis or condition description Question 9: find information regarding prefixes and suffixes used in the CPT manual, you would look in the

Answer:

Introduction to the manual Question 10: Who most frequently files insurance claims and handles insurers' payments for a medical practice

Answer:

Medical assistant Question 11: Which of the following conventions is used in ICD-9 and ICD-10 to indicate that the entries following it further define the content of a preceding entry?

Answer:

Includes

Question 12: Which of the following is what the patient owes after the insurance company has paid?

Answer:

Patients liability

Question 13: Modifiers to CPT codes indicate ____.

Answer:

that some special circumstance applies to the service Question 14: Of the federal programs providing healthcare, the largest is ____, which provides health insurance for citizens aged 65 and older.

Answer:

Medicare Question 15: The fixed dollar amount a subscriber must pay or "meet" each year before the insurer begins to cover expenses is the ____.

Answer:

deductible Question 16: An insurance claims department compares the fee the doctor charges with the benefits provided by the patient's health plan. This is called the ____.

Answer:

review for allowable benefits Question 17: The authorization for an insurance carrier to pay the physician or the medical practice directly is the ____.

Answer:

assignment of benefits Question 18: Which of the following ICD-9-CM conventions is used around synonyms, alternative wordings, or explanations?

Answer:

[ ]

Question 19: A plus sign (+) is used to indicate ____.

Answer:

add-on codes Question 20: Which of the following patients would a physician most likely treat as a matter of professional courtesy?

Answer:

Other healthcare professionals Question 21: Patients under the age of 65 who are blind or widowed or who have serious long-term disabilities, such as ____, may be entitled to Medicare.

Answer:

kidney failure Question 22: Patients who belong to a managed care health plan, such as an HMO, are responsible for a small per-visit fee collected at the time of the visit. This fee is commonly called a(n) ____.

Answer:

copayment Question 23: Which of the following is included in Medicare benefits for respite care?

Answer:

The terminally ill patient is moved to a care facility for the respite.

Question 24: ICD codes are updated ____.

Answer:

annually

Question 25: In a typical medical practice, insurance claims are filed

Answer:

a few business days after the date of service Question 26: A patient who has been hospitalized up to 90 days for each benefit period is covered under

Answer:

Medicare Part A