Exam

Test Your Billing Knowledge

True/False

1 .	The universal billing form for insurance companies is called a CMS-1200
True False
2 .	Supplemental insurance to Medicare is always billed second
True False
3 .	Fraud is intentional deception?
True False
4 .	Medicare patients pay extra for Part B?
True False
5 .	Deductible means the amount the insurance will pay at 100%?
True False
6 .	The name of Medicare agency is called CMC?
True False
7 .	Medicaid is for the elderly only?
True False

Multiple Choice

8 .	What is a participating provider?
a. A doctor that does not accept assignment b. A doctor that does accept assignment c. A doctor that does not bill Medicare d. All physicians participate with Medicare e. None of the above
9 .	What does Part B of Medicare cover?
a. Hospital b. Preventative Medicine c. Out patient/Doctor d. Dental e. None of the above
10 .	What is the Medicare waiver (ABN) used for?
a. Informing patient that they must bill Medicare b. Informing patient that they may be responsible for the bill c. Informing patient they are signing for release of medical information d. Informing patient they assigning payment to the doctor e. None of the above
11 .	What does Part A Medicare pay for?
a. Doctor b. Hospital c. Out Patient d. Preventative Care e. None of the above
12 .	Tricare insurance is for?
a. Medically indigent b. Retired state workers c. Workers Compensation d. Military e. None of the above
13 .	What does COBRA stand for?
a. Consolidated Omnibus Budget Reconciliation Act b. Consumer Omnibus Business Reconciliation Act c. Continuation of Benefits Reconciliation Act d. Conversion Omnibus Business Reconciliation Act e. None of the above
14 .	Workers Compensation is for:
a. Mentally Handicapped b. Low Income c. Elderly d. Injured e. None of the above
15 .	Submitting a claim within the limits set by the insurance company is called?
a. Reimbursement b. Timely Filing c. Clean claim d. Phantom Billing e. None of the above
16 .	What does EDI stand for?
a. Electronic Doctor Interchange b. Electronic Documentation Interchange c. Electronic Data Interchange d. Electronic Disk Interchange e. None of the above
17 .	What does A/R stand for?
a. Application Reports b. Accurate Reimbursement c. Accounts Retained d. Accounts Receivable e. None of the above
18 .	What is the name of the Medicare Waiver Form?
a. ABN b. ABA c. MWF d. GA e. None of the above
19 .	What is the purpose of CCI?
a. Identify ICD-9 codes that are bundled together b. Identify CPT codes that are bundled together c. Crosswalk for deleted CPT codes d. Crosswalk for deleted ICD-9 codes e. None of the above
20 .	If a Medicare patient has a "A" behind their social security number on their Medicare card, what does this mean?
a. They have Part A Medicare benefits b. They have Part A Medicare benefits only c. Drawing off their own Medicare benefits d. Disabled Medicare beneficiary e. None of the above

Dedicated to making positive changes in your life and career.