Medical billing MCQs (Chapterwise Multiple Choice Questions)

True or false? An individual on an HMO plan would need a referral to get a yearly mammogram.

TRUE

False

Answer & Explanation

Correct Answer: False

Note: This Question is unanswered, help us to find answer for this one

Why were security standards created in HIPAA?

To provide easy accessibility to electronically transmitted health information to all users

To provide a platform to safeguard only the electronic equipment and processes holding the health information

To prevent unauthorized access of electronically stored and transmitted health information

To safeguard electronically stored health information

Answer & Explanation

Correct Answer: To safeguard electronically stored health information

Note: This Question is unanswered, help us to find answer for this one

What is capitation?

The process of cutting down the price of a medical bill

The hierarchy of payments

A payment scheduling method

A system that pays physicians and nurses a set amount per enrolled patient assigned to them

Answer & Explanation

Correct Answer: A system that pays physicians and nurses a set amount per enrolled patient assigned to them

Note: This Question is unanswered, help us to find answer for this one

When is it acceptable for a physician to accept a gift from a patient?

Always

If the gift is of minimal value, and/ or can be displayed or shared with staff (e.g., chocolates, flowers, baked goods, etc.)

If the gift is highly personal and/or expensive

Never

Answer & Explanation

Correct Answer: If the gift is of minimal value, and/ or can be displayed or shared with staff (e.g., chocolates, flowers, baked goods, etc.)

Note: This Question is unanswered, help us to find answer for this one

Which one of the following is the largest Blue Cross Blue Shield member?

WellPoint

CareFirst

Highmark

Premera

Answer & Explanation

Correct Answer: WellPoint

Note: This Question is unanswered, help us to find answer for this one

Which of these does not cover preventive care services?

POS

PPOs

HMOs

None of the above

Answer & Explanation

Correct Answer: PPOs

Note: This Question is unanswered, help us to find answer for this one

Which of these would be a valid reasons for a claim to be denied?

The service was not covered under the patient’s health insurance contract.

The medical condition was deemed by the insurance company as being preexisting

The service was considered as not being medically necessary

All are valid reasons

Answer & Explanation

Correct Answer: All are valid reasons

Note: This Question is unanswered, help us to find answer for this one

HIPAA stands for:

Health Insurance Portability Accountability Act

Health Insurance Protected Act of America

Answer & Explanation

Correct Answer: Health Insurance Portability Accountability Act

Note: This Question is unanswered, help us to find answer for this one

True or false? The coder should NOT correct any errors in a bill.

TRUE

False

Answer & Explanation

Correct Answer: False

Note: This Question is unanswered, help us to find answer for this one

Who is eligible for Medicare part C

An individual who has an HMO plan

An individual who pays all premiums

An individual who has a supplemental Plan

An individual who is covered under Parts A and B

Answer & Explanation

Correct Answer: An individual who is covered under Parts A and B

Note: This Question is unanswered, help us to find answer for this one

Medical Billing Quick Quiz

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Medical Billing MCQ

Medical Billing Quick Quiz

True or false? An individual on an HMO plan would need a referral to get a yearly mammogram.

Why were security standards created in HIPAA?

What is capitation?

When is it acceptable for a physician to accept a gift from a patient?

Which one of the following is the largest Blue Cross Blue Shield member?

Which of these does not cover preventive care services?

Which of these would be a valid reasons for a claim to be denied?

HIPAA stands for:

True or false? The coder should NOT correct any errors in a bill.

Who is eligible for Medicare part C