Question 1

The assignment of benefits is located in block

Accepted Answer

A)   12.
B)   13.
C)   27.
D)   33.E) All of the above
F) None of the above

Question 2

The Federal Tax ID number (Box 25)  for the provider filing the claim can be presented as

Accepted Answer

A)   Social Security Number (SSN) .
B)   Employer Identification Number (EIN) .
C)   National Provider Identification (NPI) .
D)   Both A and B
E)   All of the aboveF) B) and C)
G) A) and B)

Question 3

Procedures performed on the patient are found in what block?

Accepted Answer

A)   24a
B)   24b
C)   24d
D)   24eE) B) and C)
F) None of the above

Question 4

How many diagnoses can be reported on the CMS-1500?

Accepted Answer

A)   Two
B)   Three
C)   Four
D)   SixE) A) and B)
F) B) and C) C

Question 5

Insurance information should be collected on the first visit.

Accepted Answer

A) True 
 B)False

Question 6

Claims that are done by direct billing first go to a clearinghouse.

Accepted Answer

A) True 
 B)False

Question 7

The primary insurance policy information is contained in block __________.

Accepted Answer

11
The primary insur...

Question 8

The date in block 14 is the date

Accepted Answer

A)   of the filing of the claim.
B)   of the onset of the illness.
C)   the patient signed the claim.
D)   the provider signed the claim.E) A) and C)
F) None of the above

Question 9

When completing the CMS-1500 Form, which section contains information about the patient and the insured?

Accepted Answer

A)   Section 1
B)   Section 2
C)   Section 3
D)   Section 4E) All of the above
F) B) and D)

Question 10

Which of the following is a fixed amount per visit and is typically paid at the time of medical services?

Accepted Answer

A)   Co-payment
B)   Deductible
C)   Co-insurance
D)   Both A and BE) A) and B)
F) A) and C)

Question 11

The medical assistant should do everything possible to prevent claim __________.

Accepted Answer

rejection
The medica...

Question 12

Electronic data interchange is

Accepted Answer

A)   transferring data back and forth between two or more entities.
B)   sending information to one insurance carrier.
C)   sending information to one clearinghouse for processing.
D)   None of the aboveE) A) and B)
F) B) and D)

Question 13

Match block 14 with the appropriate content as it relates to completing the CMS-1500 form. (Select all that apply.)

Accepted Answer

A)   National provider identification number
B)   Preauthorization number
C)   Date of current illness, injury, or pregnancy
D)   Diagnosis or nature of illness or injury
E)   Name of referring providerF)  Hospitalization dates related to current servicesG) A) and B)
H) A) and E) C

Question 14

The physician's office place-of-service code is

Accepted Answer

A)   9.
B)   10.
C)   11.
D)   12.E) None of the above
F) B) and C)

Question 15

A secondary health plan is noted in which block?

Accepted Answer

A)   11a
B)   11b
C)   11c
D)   11dE) A) and D)
F) C) and D)

Question 16

To examine claims for accuracy and completeness before they are submitted is to _________ the claims.

Accepted Answer

A)   correct
B)   audit
C)   revise
D)   rejectE) All of the above
F) A) and B)

Question 17

Which of the following is a common reason why insurance claims are rejected?

Accepted Answer

A)   When a procedure listed is not an insurance benefit
B)   Lack of insurance coverage on date of service
C)   Not obtaining preauthorization for the service
D)   Claim was sent to the wrong insurance planE) A) and D)
F) B) and D) D

Question 18

A(n) __________ claim has been completed accurately and completely.

Accepted Answer

clean
A clean claim ...

Question 19

The abbreviation often used in blocks 12, 13, and 31 is __________.

Accepted Answer

SOF
The abbreviation...

Question 20

A claim that is missing information and is returned to the provider for correction and resubmission is called a(n) __________ claim.

Accepted Answer

incomplete
A claim that is mis...

Exam 15: Medical Billing and Reimbursement

The assignment of benefits is located in block

Correct AnswerverifiedShow Answer

The Federal Tax ID number (Box 25) for the provider filing the claim can be presented as

Correct AnswerverifiedShow Answer

Procedures performed on the patient are found in what block?

Correct AnswerverifiedShow Answer

How many diagnoses can be reported on the CMS-1500?

Correct AnswerverifiedC

Insurance information should be collected on the first visit.

Correct AnswerverifiedShow Answer

Claims that are done by direct billing first go to a clearinghouse.

Correct AnswerverifiedShow Answer

The primary insurance policy information is contained in block __________.

Correct Answerverified11The primary insur...View AnswerShow Answer

The date in block 14 is the date

Correct AnswerverifiedShow Answer

When completing the CMS-1500 Form, which section contains information about the patient and the insured?

Correct AnswerverifiedShow Answer

Which of the following is a fixed amount per visit and is typically paid at the time of medical services?

Correct AnswerverifiedShow Answer

The medical assistant should do everything possible to prevent claim __________.

Correct AnswerverifiedrejectionThe medica...View AnswerShow Answer

Electronic data interchange is

Correct AnswerverifiedShow Answer

Match block 14 with the appropriate content as it relates to completing the CMS-1500 form. (Select all that apply.)

Correct AnswerverifiedC

The physician's office place-of-service code is

Correct AnswerverifiedShow Answer

A secondary health plan is noted in which block?

Correct AnswerverifiedShow Answer

To examine claims for accuracy and completeness before they are submitted is to _________ the claims.

Correct AnswerverifiedShow Answer

Which of the following is a common reason why insurance claims are rejected?

Correct AnswerverifiedD

A(n) __________ claim has been completed accurately and completely.

Correct AnswerverifiedcleanA clean claim ...View AnswerShow Answer

The abbreviation often used in blocks 12, 13, and 31 is __________.

Correct AnswerverifiedSOFThe abbreviation...View AnswerShow Answer

A claim that is missing information and is returned to the provider for correction and resubmission is called a(n) __________ claim.

Correct AnswerverifiedincompleteA claim that is mis...View AnswerShow Answer

Correct Answer
verified

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C

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11
The primary insur...
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rejection
The medica...
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C

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D

Correct Answer
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clean
A clean claim ...
View Answer

Correct Answer
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SOF
The abbreviation...
View Answer

Correct Answer
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incomplete
A claim that is mis...
View Answer