Test/Quiz questions
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| The standard medical abbreviation "ECG" refers to a test used to assess which of the following body systems? | show 🗑
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| The billing and coding specialist should first divide the evaluation and management code by which of the following? | show 🗑
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| show | Ureters
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| show | Advanced Beneficiary Notice
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| To be compliant with HIPAA, which of the following positions should be assigned in each office? | show 🗑
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| A parent's portion of the bill should be discussed with the patient before a procedure is performed for which of the following reasons? | show 🗑
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| show | Military identification
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| On a remittance advice form, which of the following is responsible for writing off the difference between the amount billed and the amouont allowed by the agreement? | show 🗑
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| show | Invalid
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| show | international Classification of Diseases (ICD)
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| show | Report the incident to a supervisor
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| Which of the following medical terms refers to the sac that encloses the heart? | show 🗑
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| show | Adjustment column of the credits
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| show | Oxygenating blood cells
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| Which of the following blocks should the billing and coding specialist complete on the CMS-1500 claim form for procedures, services, or supplies? | show 🗑
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| Which of the following do physicians use to electronically submit claims? | show 🗑
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| show | Principle diagnosis
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| show | Patient information was disclosed to the patient's parent without consent
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| show | Coinsurance
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| A dependent child whose parents both have insurance coverage comes to the clinic. The billing and coding specialist uses the birthday rule to determine which insurance policy is primary. Which of the following describes the birthday rule? | show 🗑
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| show | Submit an appeal to the carrier with the supporting documentation
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| When posting payment accurately, which of the following items should the billing and coding specialist include? | show 🗑
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| Which of the following does a patient sign to allow payment of claims directly to the provider? | show 🗑
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| A patient who has a primary malignant neoplasm of the lung should be referred to which of the following specialists? | show 🗑
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| show | the number is needed to identify the provider
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| show | Urethratresia
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| show | UB-04 claim form
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| show | Aging report
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| A form that contains charges, DOS, CPT codes, ICD codes, fees, and copay information is called which of the following? | show 🗑
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| show | $40
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| show | Inform the patient of the reason for the denial
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| On the CMS-1500 claim form, blocks 14 through 33 contain information about which of the following? | show 🗑
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| A nurse is reviewing a patient's lab results prior to discharge and discovers an elevated glucose level. Which of the following health care providers should be alerted before the nurse can proceed with discharge planning? | show 🗑
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| A deductible of $100 is applied to a patient's remittance advice. The provider requests the account personnel write it off. Which of the following term describes this scenario? | show 🗑
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| In the anesthesia section of the CPT manual, which of the following are considered qualifying circumstances? | show 🗑
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| show | Appeal the decision with a provider's report
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| show | Gross examination
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| show | Using data encryption software on office workstations
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| show | Problem-focused examination
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| show | Billing for services not provided
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| show | Accommodate the request and send the records
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| A patient comes in with chest pain and shortness of breath. After an unexpected ECG result, the provider summarizes the patient's symptoms. What portion of HIPAA allows the provider to speak to the cardiologist prior to obtaining the patient's consent? | show 🗑
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| show | Claims are expedited
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| On the CMS-1500 claim form, Blocks 1 through 13 include which of the following? | show 🗑
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| Which of the following is a HIPAA compliance guideline affecting electronic health records? | show 🗑
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| show | Sagittal
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| Which of the following is the purpose of running an aging report each month? | show 🗑
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| The unlisted codes can be found in which of the following locations in the CPT manual? | show 🗑
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| show | Telemedicine
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| Which of the following options is considered proper supportive documentation for reporting CPT and ICD codes for surgical procedures? | show 🗑
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| show | encrypted
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| show | Private third-party payers
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| show | Pumping blood in the circulatory system
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| show | Angioplasty
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| Which of the following statements is correct regarding a deductible? | show 🗑
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| show | They streamline patient billing by summarizing the services rendered for a given date of service
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| show | NPI
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| show | Part D
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| show | The DOB is entered incorrectly
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| Which of the following color formats allows optical scanning of the CMS-1500 claim form? | show 🗑
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| Which of the following components of an explanation of benefits expedites the process of a phone appeal? | show 🗑
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| show | Delinquent
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| A claim can be denied or rejected for which of the following reasons? | show 🗑
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| Which of the following information is required on a patient account record? | show 🗑
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| show | 12
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| Which of the following actions should be taken first when reviewing a delinquent claim? | show 🗑
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| show | CMS-1500 claim form
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| show | Denied
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| show | Block 12
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| A patient has AARP as secondary insurance. In which of the following blocks on the CMS-1500 claim form should this information be entered? | show 🗑
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| show | The billing and coding specialist sends the patient's records to the patient's partner
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| Which of the following sections of the medical record is used to determine the correct Evaluation and Management code used for billing and coding? | show 🗑
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| show | Adjudication
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| show | Health care clearinghouses
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| The "><" symbol is used to indicate new and revised text other than which of the following? | show 🗑
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| show | National provider identification number
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| Which of the following forms should the billing and coding specialist transmit to the insurance carrier for reimbursement of inpatient hospital services? | show 🗑
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| Which of the following describes a delinquent claim? | show 🗑
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| Which of the following is a private insurance carrier? | show 🗑
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| show | patient ledger account
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| The physician bills $500 to a patient. After submitting the claim to the insurance company, the claim is sent back with no payment. The patient still owes $500 for the year. The amount is called which of the following? | show 🗑
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| show | Performing periodic audits
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| show | Improper code combinations
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| A patient comes to the hospital for an inpatient procedure. Which of the following hospital staff members is responsible for the initial patient interview, obtaining demographic and insurance information, and documenting the chief complaint? | show 🗑
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| show | Coding compliance plan
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| When submitting a clean claim with a diagnosis of kidney stones, which of the following procedure names is correct? | show 🗑
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| show | $48
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| Which of the following should the billing and coding specialist include in an authorization to release information? | show 🗑
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| Which of the following is the portion of the account balance to the patient must pay after services are rendered and the annual deductible is met? | show 🗑
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| show | Paper claim
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| Which of the following is the purpose of precertification? | show 🗑
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| Which of the following is one of the purposes of an internal auditing program in a physician's office? | show 🗑
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| An insurance claim register (aged insurance report) facilitates which of the following ? | show 🗑
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| show | Dermatology
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| Which of the following indicates a claim should be submitted on paper instead of electronically? | show 🗑
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| show | Coinsurance
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| A patient's health plan is referred to as the "payer of last resort." The patient is covered by which of the following health plans? | show 🗑
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| Which of the following statements is true regarding the release of patient records? | show 🗑
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| When completing a CMS-1500 paper claim form, which of the following is an acceptable action for the billing and coding specialist to take? | show 🗑
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| Which of the following is the verbal or written agreement that gives approval to some action, situation, or statement, and allows the release of patient information? | show 🗑
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crystal_r
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