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BillingandCoding201
Medical Billing Final
| Question | Answer |
|---|---|
| Medicare provides insurance for disabled individuals if they have received social security disability benefits for 24 months. | TRUE |
| NEVER CODE USING JUST ONE VOLUME OF THE ICD-9-CM. | TRUE |
| MEDICARE PROVIDES INSURANCE FOR DISABLED WORKERS OF ANY AGE. | TRUE |
| THE MEDICAID PATIENT MAY BE RESPONSIBLE FOR COPAYMENT. | TRUE |
| AN E CODE MAY NEVER BE SEQUENCED IN THE FIRST POSITION. | TRUE |
| NONPARTICIPATING PHYSICIANS HAVE AN OPTION REGARDING ACCEPTING ASSIGNMENT ON THE mEDICARE PATIENT. | TRUE |
| AUTHORIZATION TO TREAT A PATIENT WITH AN INDUSTRIAL INJURY MAY BE OBTAINED OVER THE TELEPHONE. | TRUE |
| DISABLED WORKERS YOUNGER THAN 65 YEARS OF AGE ARE ELIGIBLE FOR SSDI. | TRUE |
| CALIFORNIA ALLOWS FOR STATE DISABILITY BENEFITS IN A NORMAL ROUTINE PREGNANCY. | TRUE |
| A REASON FOR DENIAL OF DIABILITY INCOME BENEFITS IS INSUFFICIENT MEDICAL INFORMATION. | TRUE |
| ONE OF THE MOST IMPORTANT ITEMS ON STATE DISABILITY CLAIM FORM IS THE CLAIMANT'S SOCIAL SECURITY NUMBER. | TRUE |
| ALL PERSONS AGE 65 WHO MEET ELIGIBILITY REQUIREMENTS FOR MEDICARE RECIEVE MEDICARE PART B. | FALSE |
| UPDATED ICD-9 CODES MUST BE IN PLACE AND USED OCTOBER EACH YEAR. | FALSE |
| THE PATIENTS AUTHORIZED SIGNATURE IS NOT REQUIRED ON THE CMS-1500 CLAIM FORM FOR MEDICARE-MEDICAID CASES. | FALSE |
| V CODES SHOULD ALWAYS BE LISTED IN THE SECOND POSITION | FALSE |
| THE TIME LIMIT FOR SENDING IN MEDICARE CLAIMS IS THE END OF THE CALENDER YEAR IN WHICH PROFESSIONAL SSERVICES WERE PERFORMED. | FALSE |
| MINORS ARE NOT COVERED BY WORKERS COMPENSATION. | FALSE |
| DISABILITY INCOME INSURANCE PROVIDES BENEFITS FOR WORK-RELATED DISABLITITY. | FALSE |
| WORKERS' COMPENSATION BENEFITS ARE SUBJECT TO INCOME TAX | FALSE |
| DISABILITY INCOME POLICIES DO NOT PROVIDE MEDICAL EXPENSE BENEFITS. | FALSE |
| MEDICARE IS A... | FEDERAL HEALTH INSURANCE PROGRAM |
| PART A OF MEDICARE COVERS.. | HOSPICE CARE |
| PART B OF MEDICARE COVERS.. | DIAGNOSTIC TESTS |
| CONFIDENTIALITY IS AUTOMATICALLY WAIVED IN CASES OF.. | GUNSHOT WOUNDS, CHILD ABUSE, EXTREMELY CONTAGIOUS DISEASES |
| IN HEALTH INSURANCE, THE INSURED IS ALSO KNOWN AS THE.. | SUBSCRIBER, MEMBER, POLICYHOLDER |
| WHAT DOES COMORBIDITY MEAN? | UNDERLYING DISEASE OR OTHER CONDITIONS PRESENT AT THE TIME OF THE VISIT. |
| A PARTICIPATING PHYSICIAN WITH MEDICARE PLAN AGREES TO ACCEPT.. | 80% OF THE MEDICARE-APPROVED CHARGE |
| PARTS OF THE LOWER INTESTINES, RIGHT OVERY, RIGHT UTERINE TUBE, APPENDIX AND RIGHT UTERER ARE FOUND IN THE.. | RIGHT LOWER QUADRANT |
| THE STATUES FOR WORKERS' COMPENSATION LAWS FALL UNDER.. | FEDERAL AND STATE COMPENSTAION LAWS |
| AN ABNORMAL CONDITION CAUSED BY EXPOSURE TO ENVIORMENTAL FACTORS ASSOCIATED WITH EMPLOYMENT IS TERMED A/AN.. | OCCUPATIONAL ILLNESS |
| IN MANY STATES WORKERS COMPENSATION LAWS HAVE EXEMPTIONS FOR CERTAIN OCCUPATIONS, SUCH AS.. | DOMESTIC EMPLOYEES, BABYSITTERS, AND GARDENERS |
| THE SIMPILIST TYPE ON WORKERS COMPENSATION CLAIM IS.. | NONDISABILITY |
| MEDICARE PART A IS RUN BY.. | THE CENTERS OF MEDICARE AND MEDICAID SERVICES |
| IF YOU RECIEVE A REQUEST, ACCOMPANIED WITH THE CORRECT AUTHORIZATION, ASKING TO ABSTRACT MEDICAL INFORMATION FROM A PATIENTS MEDICAL RECORD.. | SEND ONLY THE INFORMATION REQUESTED |
| MEDICARE PART A BENEFIT PERIOD ENDS WHEN A PATIENT.. | HAS NOT BEEN A BED PATIENT IN ANY HOSPITAL OR NURSING FACILITY FOR 60 CONSECUTIVE DAYS |
| MEDICAID ELEIGIBILITY MUST ALWAYS BE CHECKED FOR THE.. | MONTH OF SERVICE AND TYPE OF SERVICE |
| MEDIGAP INSURANCE MAY COVER.. | THE DEDUCTIBLE NOT COVERED UNDER MEDICARE |
| IF A WORKER HAS A WORK-RELATED INJURY OR ILLNESS AND IS UNABLE TO PERFORM THE DUTIES OF HIS OR HER JOB FOR 2 MONTHS AND THEN RETURNS TO MODIFIED WORK FOR 1 MONTH BEFORE RETURNING TO FULL WORK, THE CLAIM IS REFERRED TO AS A/AN.. | TEMPORARY DIABILITY CLAIM |
| IN A WORKERS COMPENSATION CASE. THE CONTRACT OF FINACIAL RESPONSIBILITY EXISTS BETWEEN.. | THE PHYSICAIN AND THE INSURANCE COMPANY |
| WHEN A CASE IS RATED FOR PERMANENT DISABILITY AND SETTLED, THIS IS CALLED.. | COMPROMISE AND RELEASE |
| WHO MAY ACCEPT A SUBPOENA? | THE PROSPECTIVE WITNESS AND AN AUTHORIZED PERSON |
| SOME SENIOR HMO'S MAY PROVIDE SERVICES NOT COVERED BY MEDICARE, SUCH AS.. | EYEGLASSES AND PRESCRIPTION DRUGS |
| A PARTICIPATING PHYSICIAN WITH THE MEDICARE PLAN AGREES TO ACCEPT.. | 80% OF MEDICARE-APPROVED CHARGES |
| PHI MEANS? | PROTECTED HEALTH INFORMATION |
| OIG MEANS? | OFFICER OF INSPECTOR GENERAL |
| AN INDIVIDUALIZED PROGRAM OF THERAPY USING STIMULATED OR REAL WORK TASKS TO BUILD STRENGTH AND IMPROVE WORKER ENDURANCE TOWARD A FULL DAY'S WORK IS KNOWN AS.. | WORK HARDENING |
| NAME THE CORRECT PROCEDURE FOR KEEPING AN INDUSTRIAL PATIENTS FINANCIAL AND HEALTH RECORDS WHEN THE SAME PHYSICIAN IS ALSO SEEING THE PATIENT AS A PRIVATE PATIENT? | SEPERATE FINANCIAL AND HEALTH RECORDS MUST BE USED |
| PAYMENTS TO HOSPITALS FOR MEDICIARE SERVICES ARE CLASSIFIED ACCORDING TO | DRGs |
| IN REGARDS TO HIPAA, PO STANDS FOR.. | PRIVACY OFFICER |
| THE FORM THE CONTAINS AUTHORIZATION FOR THE PHYSICAIN TO TREAT AN INJURED EMPLOYEE IS THE.. | MEDICAL SERVICE ORDER |
| DISABILITY INCOME INSURANCE IS AVAILABLE FROM.. | ON THE FIRST OF EVERY MONTH |
| THE SOCIAL SECURITY ACT OF 1935 | SET UP THE STATE MEDICAL PROGRAMS |
| THE HCPCS NATIONAL ALPHANUMERIC CODERS ARE REFERED TO AS.. | LEVEL II CODERS |
| DISABILITY INCOME INSURANCE IS AVAILABLE FROM.. | PRIVATE INSURANCE COMPANIES, EMPLOYER-SPONSERED PLANS, GOVERNMENT-FUNDED PROGRAMS |
| THE MEDICAID PROGRAM WAS DIRECT RESULT OF... | A LAW PASSED BY CONGRESS IN 1950 |
| COVERAGE THAT PROVIDES SPECIFIC MONTHLY OR WEEKLY INCPME WHEN A PERSON IS UNABLE TO WORK BECAUSE OF AN ILLNESS OR INJURY IS KNOWN AS | DISABILITY INCOME INSURANCE |
| THE MAXIMUM AMOUNT OF TIME FOR WHICH BENEFITS WILL BE PAID TO THE INJURED OR ILL PERSOM FOR DISABILITY IS CALLED THE.. | BENEFIT PERIOD |
| PATIENTS HAVE THE RIGHT TO VIEW THEIR MEDICAL RECORDS EXCEPT FOR | PSYCHOTHERAPY NOTES |
| DEFRA and CHAP were responsible for | EXPANDING MEDICAID ELIGIBILITY REQUIRMENTS |
| HIPAA STANDARD CODES WILL BE USED | TO REPLACE THE STANDARD CMS-1500 CODES |
| FORM 837P IS | A FORM THAT IS USED FOR ALL HIPAA CLAIMS AND IN ELECTRONIC FORMAT ONLY |
| GUARANTEED RENEWABLE MEANS THAT THE INSURER IS.. | REQUIRED TO RENEW THE POLICIY AS LONG AS PREMIUM PAYMENTS ARE MADE, AND THE PREMIUM MAY BE INCREASED |
| STATE CHILDREN'S HEALTH INSURANCE PROGRAMS | OPERATE WITH FEDERAL GRANT SUPPORT UNDER TITLE V OF THE SOCIAL SECURITY ACT |
| WHAT ARE THE TWO PROGRAMS THAT THE SSA MANAGES THAT PAY MONTHLY DISABLILITY BENEFITS TO PEOPLE YOUNGER THAN AGE 65 WHO CANNOT WORK FOR AT LEAST A YEAR BECAUSE OF SEVERE DISABILITY? | SSDI AND SSI |
| THE OMNIBUS BUDUGET RECONCILIATION ACT | PROVIDES ASSISSTANCE FOR THE AGED AND DISABLED WHO ARE RECIEVEING MEDICARE AND WHOSE INCOME ARE BELOW POVERTY LEVEL |
| MEDICAID IS AVAILABLE TO NEEDY AND LOW INCOME PEOPLE SUCH AS | THE BLIND, DISABLED, AGED 65 OR OLDER |
| MIP STANDS FOR | MEDICARE INTEGRITY PROGRAM |
| IF A PHYSICIAN ACCEPTS MEDICAID PATIENTS, THE PHYSICIAN MUST ACCEPT | THE MEDICAID-ALLOWED AMOUNT |
| MEDICAID MANAGED CARE PATIENT CLAIMS SHOULD BE SENT TO.. | MANAGED CARE ORGINIZATION AND NOT THE MEDICAID FISCAL AGENT |
| THE ARMED SERVICES DISABILITY BENEFITS PROGRAM IS AVAILABLE TO.. | MEMBERS OF THE ARMED FORCES ON ACTIVE DUTY |
| THE SUPPLEMENTAL SECURITY INCOME PROGRAM UNDER TITLE XVI SOCIAL SECURITY ACT PROVIDES.. | DISABILITY PAYMENTS TO NEEDY PEOPLE WITH LIMITED INCOME AND FEW RESOURCES |
Created by:
myrose622
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