FREE STANDARDIZED TESTS AND STUDY GAMES ABOUT

PDF Download

FREE STANDARDIZED TESTS AND STUDY GAMES ABOUT

INSURANCE CH14-15

Actual Qs and Ans Expert-Verified Explanation

This Exam contains:

-Guarantee passing score -58 Questions and Answers -format set of multiple-choice -Expert-Verified Explanation

Question 1: Improper or excessive payments is known as?

Answer:

Over payment

Question 2: Guarantor billing

Answer:

Sending one payment to the guarantor

Question 3: What codes might payers use to explain a determination?

Answer:

All the above by CMS

Question 4: On the aging report, what range would show the current invoice?

Answer:

0-30 days passed due after 30 days

Question 5: If a patient has additional insurance, after the primary payer's RA/EOB has posted what would be the next step?

Answer:

Billed the Secondary insurance

Question 6: The HIPAA 835 is sent to do what?

Answer:

Is sent to the payer to explain a claim payment

Question 7: The term collection refers to what?

Answer:

Payment problems Question 8: Patient are grouped under the insurance policyholder in what type of billing?

Answer:

Guarantor billing

Question 9: The advantages of EFT for practice are?

Answer:

Funds are available Question 10: The law that regulates the calling hours and collection methods is?

Answer:

Telephone consumer act

Question 11: Effective patient billing begins with?

Answer:

Sound financial policy

Question 12: Development

Answer:

Payer attention together clinic (for the claim before payment)

Question 13: Retention schedule

Answer:

Summarize the practice of keeping policy

Question 14: EFT

Answer:

Banking service Question 15: When a claim is pulled by a payer for a manual review, the provider may be asked to submit what?

Answer:

Documentation

Question 16: The person filing an appeal is known as?

Answer:

Climate or appellant

Question 17: What term mean stealing of funds?

Answer:

Embezzlement

Question 18: The first step in the Medicare appeals process is called?

Answer:

Redetermination

Question 19: A summary of financial transactions that occur each day is called?

Answer:

Day Sheet

Question 20: Determination means what?

Answer:

Payer decision

Question 21: What is used by the insurance specialist to update the patient billing program with the payer's payment and the amount due from the patient?

Answer:

RA/EOB

Question 22: A list of claims transmitted and how long they have been in process with the payer is shown where?

Answer:

Aging report

Question 23: Concurrent care

Answer:

Medical situation where a patient receive care from 2 or more physician in the same day

Question 24: Credit report

Answer:

Process where the unpaid medical bills can be reviewed

Question 25: Overpayments

Answer:

Improper or overpayment billing error

Question 26: HIPAA 276 is used by the medical office for what?

Answer:

The status for the claim

Question 27: MRN

Answer:

Letter from Medicare to apatite regarding as appeal

Question 28: Who creates and implement the practice's collection policy?

Answer:

Billing collection manger