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Basic Medical billing MCQ

1. Which of the following is the code for anesthesia (type of service code)?

Answer

Correct Answer: 07

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2. In which box are the CPT codes entered on the CMS-1500 Form?

Answer

Correct Answer: Box 24D

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3.

State whether true or false:

Ideal practice management software should have good reporting and multi-tasking capabilities.

Answer

Correct Answer:

True 


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4. Which of the following components of HIPAA have been put into effect?

Answer

Correct Answer: Portability and Accountability

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5.

State whether true or false:

HIPAA provides protections for both Group Health Plans and Individual Coverage.

Answer

Correct Answer:

True 


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6. Which of these is not a suitable marketing strategy for medical billing business?

Answer

Correct Answer: Door-to-door marketing

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7. What is the full form of AIDA?

Answer

Correct Answer: Attention, Interest, Desire And Action

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8. _____is an agreement made between the insurance company and the insured to send payments directly to the physician.

Answer

Correct Answer: Assignment of Benefits

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9. Which of the following is not a coding convention?

Answer

Correct Answer: Articles

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10. Who among the following can also be a guarantor?

Answer

Correct Answer: The patient

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11. Why was HIPAA enacted into a law?

Answer

Correct Answer: To implement portability requirements for individual and group health insurance plans

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12. Which of these does not cover preventive care services?

Answer

Correct Answer: PPOs

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13. Which body is responsible for implementing the Privacy Rules

Answer

Correct Answer: The Office of Civil Rights

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14. What is the role of a clearing house while submitting claims electronically?

Answer

Correct Answer: A clearing house acts as an intermediary between the billing center and the insurance carrier
A clearing house performs an initial computerized review of the claim submitted and sends the claim to the insurance carrier

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15. Which of the following is not necessarily a function performed by a medical biller?

Answer

Correct Answer: Abstracting and coding of services rendered from a patient's medical records

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16. If the patient deductible is $700, and the deductible met is $685, the coverage is 80/20 and the physician's charge is $75, how much should the patient pay?

Answer

Correct Answer: $27

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17. What things should you emphasize on while selecting an attorney when starting your own medical billing business?

Answer

Correct Answer: You should look at his years of experience
He should be able to develop a Compliance Plan in accordance with HIPAA protocols

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18. Which of these is not a type of insurance coverage?

Answer

Correct Answer: Medicare
Group Health/Medical Insurance

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19. Which of the following correctly defines the Encounter Document?

Answer

Correct Answer: It is a form listing the services performed on a patient in a date of service

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20. What is a write off?

Answer

Correct Answer: It is the difference between the actual fee and the permitted fee

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21. What is the way to determine the primary and secondary policy if a child is covered under both parent's policies?

Answer

Correct Answer: Application of the

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22.

Fill up the blank:

National Provider Identifier is a _____ digit number.

Answer

Correct Answer:

10


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23. Which is a more efficient and less time consuming method to submit your claims?

Answer

Correct Answer: Through clearing houses

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24. What do the CPT codes refer to?

Answer

Correct Answer: The procedures performed by a physician or a practitioner

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25. In which of the following methods will you bill your clients for giving your services as a medical biller?

Answer

Correct Answer: By percentage of collections

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26. The component 'National Identifier Standards' fall under which of the following components of HIPAA?

Answer

Correct Answer: Administrative Simplification

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27. Which of these is not one of the co-operating parties which maintains and upgrades ICD-9-CM codes?

Answer

Correct Answer: World Health Organization(WHO)

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28. Which are the disclosures exempted from minimum necessary?

Answer

Correct Answer: Permissive Disclosures
Disclosure of de-identified information

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29. What is needed to file Worker's Compensation and Auto Insurance Claims?

Answer

Correct Answer: Claim Number

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30. How is the patient identified in case of Champva?

Answer

Correct Answer: VA File #

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31. Which of the following does the acronym HIPAA stand for?

Answer

Correct Answer: Health Insurance Portability and Accountability Act of 1996

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32. What is not one of the eligibility criteria for Medicare?

Answer

Correct Answer: You should be a resident of the United States

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33. What is the need for insurance verification?

Answer

Correct Answer: To determine the accuracy of the patient information and the insurance card
To determine how the insurance will consider and/or pay for the services rendered
To charge the patient for their portion appropriately

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34. What is the length of the standard CPT codes?

Answer

Correct Answer: 5

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35.

Identify the order of events after a claim reaches the insurance carrier:

1.Application of leftover deductible

2.Examining the procedures performed and the 'medical necessity' on these procedures

3.Application of 'allowable payments options' for every procedure performed

4.Review of the claim for proper formatting and information

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