Sr# Question
1 How many minimum characters are typically found in an ICD-Correct0 code?
2 In ICD-Correct0-CM coding, what does the term "external cause" refer to?
3 In internal medicine billing, what is the significance of the "place of service" code?
4 In medical billing, what is the significance of the "QW" modifier?
5 What does EHR stand for in the context of medical billing?
6 What does RCM stand for in medical billing?
7 What is a common consequence of failing to verify a patient's eligibility before providing medical services?
8 What is the first step in the medical billing cycle?
9 What is the initial step in the process of claim creation in medical billing?
10 What is the primary purpose of claim scrubbing in medical billing?
11 What is the primary purpose of eligibility verification in medical billing?
12 What is the purpose of a "superbill"?
13 What is the purpose of a National Correct Coding Initiative (NCCI edit in claim scrubbing?
14 What is the purpose of conducting a CPT-ICD-Correct0-CM code edit in claim scrubbing?
15 What is the purpose of medical billing?
16 What is the purpose of patient registration in the revenue cycle?
17 What is the purpose of the CMS-Correct500 form?
18 What is the purpose of using a "clearinghouse" in electronic claims submission?
19 What is the purpose of using evaluation and management (E/M) codes in internal medicine billing?
20 What is the purpose of using modifier -59 in medical billing?
21 What is the purpose of using modifiers in medical billing?
22 What is the role of a medical coder in the claim creation process?
23 Which feature is typically NOT offered by medical billing software?
24 Which government program provides health insurance for individuals aged 65 and older and some younger people with disabilities?
25 Which of the following actions should be taken if a patient's insurance coverage cannot be verified during eligibility verification?
26 Which of the following actions should be taken if a patient's insurance information is missing during claim creation?
27 Which of the following actions should be taken if claim scrubbing identifies a potential error in a claim?
28 Which of the following entities is responsible for processing claims and issuing payments to healthcare providers?
29 Which of the following entities is responsible for providing eligibility information to healthcare providers?
30 Which of the following is an example of a standard claim form used in medical billing?
31 Which of the following services is typically provided by laboratory facilities?
32 Which of the following software is commonly used in medical billing for electronic claims submission?
33 Which of the following stages is NOT part of the revenue cycle in medical billing?
34 Which of the following terms refers to the process of applying payments to specific patient accounts or claims in the billing system?
35 Who is responsible for coordinating benefits if a patient has more than one insurance plan?
Answers Answer Sheet Marking A
3
The cause of a disease or condition
It indicates the patient's mode of transportation to the medical practice.
It indicates a service provided by a resident under supervision.
Electronic Health Record
Revenue Cycle Management
Increased patient satisfaction
Patient check-in
Verifying patient eligibility
To remove claims from the billing system
To determine a patient's ability to pay for medical services
To bill patients for services rendered
To check for errors related to patient demographics
To verify patient insurance coverage
To diagnose medical conditions
To collect payment for services rendered
To apply for Medicaid benefits
To manage patient appointments
To document the severity of a patient's illness
To indicate a separate and distinct service performed during the same encounter
To indicate the patient's insurance coverage
To negotiate payment rates with insurance companies
Claims submission
Medicare
Proceed with the medical service and bill the patient later
Proceed with claim submission and bill the patient later
Ignore the error and proceed with claim submission
Patients
The patient
CMS-Correct500
Surgical procedures
Microsoft Word
Patient scheduling
Payment reconciliation
The primary insurance company
B
4
Where the patient resides
It specifies the location where the medical service was provided.
It specifies the location where the service was provided.
Efficient Hospital Reporting
Referral Claims Management
Improved revenue cycle management
Eligibility verification
Collecting patient demographics and encounter information
To validate claims for accuracy and completeness before submission to insurance companies
To document services provided during a patient visit
To ensure claims comply with Medicare billing regulations
To identify potential coding discrepancies between procedure and diagnosis codes
To provide medical treatment
To schedule follow-up appointments
To document patient demographics and services provided
To process and forward claims to insurance companies in a standardized format
To identify the patient's insurance coverage
To specify the location where the service was provided
To specify the location where the service was provided
To review and assign appropriate procedure and diagnosis codes to the claim
Appointment scheduling
Medicaid
Deny the patient access to medical care until coverage is confirmed
Contact the insurance company to request the information
Correct the error manually and resubmit the claim
Insurance companies
The insurance company
IRS Form Correct040
Physical therapy
Excel
Claims submission
Payment adjudication
The patient
C
5
How the condition affects the patient's quality of life
It identifies the referring physician.
It identifies the referring physician.
Essential Healthcare Regulation
Resource Cost Monitoring
Denied claims and delayed payments
Patient scheduling
Submitting the claim to the insurance company
To submit claims to multiple insurance companies simultaneously
To schedule appointments for patients
To request pre-authorization from insurance companies
To determine a patient's eligibility for insurance coverage
To track the status of submitted claims
To submit claims for reimbursement
To obtain demographic and insurance information
To order medical supplies
To store medical supplies in healthcare facilities
To specify the location of the medical practice
To identify services performed by a resident
To alter the meaning of a procedure or service code
To schedule patient appointments
Electronic health records (EHR)
TRICARE
Contact the patient's employer for insurance information
Deny the patient access to medical care until insurance information is provided
Discard the claim and bill the patient directly
Government agencies
The federal government
UB-04
Diagnostic tests
QuickBooks
Payment posting
Payment posting
The secondary insurance company
D
7
Circumstances that contributed to the patient's injury or condition
It indicates the patient's preferred language for communication.
It indicates a waived laboratory test.
Effective Human Resources
Records Compilation Managemen
Higher reimbursement rates
Claim submission
Negotiating payment rates with insurance companies
To generate patient statements for outstanding balances
To document patient demographics for statistical purposeS
To order medical supplies
To schedule follow-up appointments for patients
To generate patient statements
To schedule appointments
To diagnose medical conditions
To request prior authorization for surgery
To diagnose medical conditions
To report the level of complexity of a patient encounter
To document the patient's insurance coverage
To schedule follow-up appointments for patients
To verify patient insurance coverage
Patient diagnosis
CHIP (Children's Health Insurance Program
Inform the patient and explore alternative payment options or reschedule the appointment
Inform the patient and explore alternative payment options
Contact the insurance company to request manual review
Pharmaceutical companies
The American Medical Association (AMA
W-9 Form
Primary care visits
Practice Management Software
Patient diagnosis
Payment verificatioN
The healthcare provider
