Insurance Quiz
Insurance Knowledge Quiz
Test your knowledge on insurance policies and procedures with our comprehensive quiz! This quiz is designed to enhance your understanding of various insurance topics, especially focusing on Medicare and preauthorization processes.
Challenge yourself with questions covering:
- Medicare guidelines
- Preauthorization requirements
- Billing codes and procedures
- Insurance plan limitations
How many days do we have to submit an OPTUM/UnitedHealth preauthorization request?
4
5
10
1
Which of the following is a true statement regarding patients with Medicare insurance? Choose all that apply.
Patient must have been discharged form home health PT to start outpatient PT.
Plan of Care document must be signed by MD within 30 days of seeing the patient.
Medicare requires a patient to have a prescription from an MD.
An ABN form must be signed by the patient if they go beyond the $3000 limit.
You can bill a re-evaluation if there has been a significant change in status or plan of care.
Which of the following insurances TYPICALLY require pre-authorization?
Blue Shield
Anthem Blue Cross
United Health/Optum
Cigna/ASH
Medicare
HealthNet
Aetna
Do approved authorizations (visit number and end dates) have to be entered into the patient's chart?
Yes
No
Maybe
When a patient runs out of insurance benefits or you decide that services are not medically necessary, what out-of-pocket rate can we offer them?
$200
$150
$100
$120
$50
Generally speaking, which code pays the best?
Therapeutic Exercise
Therapeutic Activities
Gait Training
Manual Therapy
Neuromuscular Re-education
Medicare’s KX modifier is used by billing for what purpose?
To indicate to Medicare that services beyond $2150 are still medically necessary.
To allow a patient to go beyond the $3000 cap.
To let Medicare know that the patient has passed away.
To let Medicare know that the patient has been discharged.
Which of these health insurances tend to have strict visit limitations (i.e. 20 visits per calendar year)?
Anthem MPI
Aetna
Blue Shield
Cigna
When does a Cigna/ASH plan reset?
January 1st of every year.
July 1st of every year.
October 31st of every year.
December 1st of every year.
How many visits does a patient get from CIGNA/ASH before an MNR form has to be submitted?
10
5
2
1
15
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