Medical Billing Mock Test 1

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Medical Billing Mastery Quiz

Test your knowledge and skills in medical billing with our comprehensive quiz designed for healthcare professionals. Whether you are a beginner or an experienced medical biller, this quiz offers a variety of questions that will challenge your understanding of key concepts in the field.

Key Features:

21 multiple choice questions
Immediate feedback on answers
Learn about Medicare, insurance carriers, claims processing, and more!

21 Questions5 MinutesCreated by BillingExpert506

What is CMS Stands For ?

Center for medicare & medicaid services

Center for medicaid & medicare services

Center for medical & medicare services

Center for medical & medicaid services

If you are submitting a corrected claim, you must do the following:

Write "CORRECTED CLAIM" in box 19

Put the original claim number in box 23 and write "Corrected claim" in box 19

Use Code 7 in box 22 with an ICN.

Only use a paper claim so you can write "CORRECTED CLAIM" in big letters on the top. Use code 7 for replacement claims and use the original claim number (ICN) in that box.

COB stands for ?

Carrier orientation of benefits

Coordination of benefits

Correct order of benefits

Carrier obligation of benefits

What is the formula for Allowed Amount ?

Paid Amt + Allowed Amt

Allowed Amt - Patient Responsibility

Paid Amt + Patient Responsibility

Paid Amt = Patient Responsibility

You are reading a Medicare RA. You see that Medicare has allowed the full amount but paid nothing. The total allowed amount is $145. The claims adjustment reason code reads CO-1. What do you do?

Call Medicare because they didn't pay.

Contact coding and see if they can fix the claim.

Submit the claim again with a modifier.

Send the patient a bill.

If Received 4- Denied code what we will do?

Need to call insurance and correct the prcedure code

Need to send coding team and check procedure code & Modifier

Need to call insurance and correct the prcedure code

None of the above

Tricare is insurance for ?

Active-duty military and their families

Surviving spouses of military service members.

Retired service members

All of the above

If denied uhc insurance for medical records & also we have web portal what you will do?

Sumitted the medical records in website

Call the insurance and get the mailling address or fax then we will send it

No need to send the medical records

None of the above

A patient comes in with a piece of metal shavings in his eye that he got while welding at his job. He has Anthem health insurance through his work. Which of the following insurances would cover his visit?

Medicaid

Anthem

Worker's compensation

Disability insurance

The difference between an HMO and a PPO is:

HMOs cost less, but provide better care.

PPO plans allow patients to be seen out of network at an increased cost, while HMOs do not.

HMO plans allow patients to be seen out of network at an increased cost, while PPOs do not.

There is no difference between HMOs and PPOs.

A patient receiving ambulatory care at a hospital or other health facility without being admitted as a bed patient is called an?

Inpatient

Carrier

Outpatient

Adjuster

A request for payment under an insurance contractor bond is called an ?

Insurance application

Claim

Dual choice request

Total disability

Payment made periodically to keep an insurance policy in force is called ?

Time limit

Premium

Coinsurance

Fee-for-service

An amount the insured must pay before policy benefits begin is called ?

Indemnity

Extended benefits

Deductible

Catastrophic

An organization that offers health insurance at a fixed monthly premium with little or no deductible and works through a primary care provider is called an

PPO

HMO

EPO

POS

Medical Billing Mock Test 1

Medical Billing Mastery Quiz

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