Insurance MCQ

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Showing posts with the label Medical Billing Insurance

Medicare claims must be submitted electronically unless the Secretary of HHS grants a(n):

Medicare claims must be submitted electronically unless the Secretary of HHS grants a(n): Answer: Waiver

The CMS-1500 form is an 8 1/2 x 11 inch, two sided document, the front side of which is printed in:

The CMS-1500 form is an 8 1/2 x 11 inch, two sided document, the front side of which is printed in: Answer: OCR scannable red ink

According to the text, the two methods of submitting electronic claims are

According to the text, the two methods of submitting electronic claims are Answer: Through a claims clearinghouse or directly to the insurance carrier

This new HIPPA standards version addresses many of the deficiencies in the former version and accommodates the reporting of

This new HIPPA standards version addresses many of the deficiencies in the former version and accommodates the reporting of Answer: National Provider identifiers (NPIs) and the new ICD-10codes

After January 2010, a new version of the HIPPA standards was implemented called:

After January 2010, a new version of the HIPPA standards was implemented called: Answer: Version 5010

A company that receives claims, consolidates them, and transmits them in batches to third-party payer is called a:

A company that receives claims, consolidates them, and transmits them in batches to third-party payer is called a: Answer: Clearinghosue

An example of method for manual claims follow-up is using an:

An example of method for manual claims follow-up is using an: Answer: Insurance log, Insurance register

The standard unique identifier tat was adopted to identify all healthcare provider and health plan is the:

The standard unique identifier tat was adopted to identify all healthcare provider and health plan is the: Answer: NPI (National Provider Identifier)

In noncomputerized practices, patient charges and payments can be tracked manually on a(n):

In noncomputerized practices, patient charges and payments can be tracked manually on a(n): Answer: Patient ledger card

A multipurpose form used by most medical practice for billing is called a(n):

A multipurpose form used by most medical practice for billing is called a(n): Answer: Superbill, Encounter form, routing form

An insurance policy that covers an individual, his or her spouse, and eligible dependent is referred to as a(n):

An insurance policy that covers an individual, his or her spouse, and eligible dependent is referred to as a(n): Answer: Family plan

An individual covered under Medicare is referred to as a(n):

An individual covered under Medicare is referred to as a(n): Answer: Beneficary

A patient's name, address, Social Security number, and employment data are commonly referred to as:

A patient's name, address, Social Security number, and employment data are commonly referred to as: Answer: Demographic Informations

The patient information form is consider a legal document and should be updated no less often than:

The patient information form is consider a legal document and should be updated no less often than: Answer: Once a year

A "small provider" of service is one with fewer than:

A "small provider" of service is one with fewer than: Answer: 25 full-time equivalent employees

A modern innovation that had made claims submission faster, more accurate, and at a cost saving to a medical practice is:

A modern innovation that had made claims submission faster, more accurate, and at a cost saving to a medical practice is: Answer: Optical Character recognition

The two basic methods of submitting health insurance claims are

The two basic methods of submitting health insurance claims are Answer: Electronic and Paper Form

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