MA116 Insurance Billing Test | Questions And Answers | 2024 Updates Solutions

Health Insurance designed for military dependents and retired military personnel is called? - ANSTRICARE The federal and state funded health insurance program for the medically indigent is called? - ANSMedicaid What would be paid by Medicare Part B? - ANSOutpatient hospital care, physician's office visits, medical equipment, and other medical services What steps to medical billing should be performed prior to rendering medical services? - ANS1. Collect patient information including the insured, employer, demographic, and health insurance data when the patient calls to schedule an appointment. 2. Verify the patient's eligibility, confirming that the patient's contract with the insurance is valid for the date of service. 3. After the medical services are rendered, code the diagnosis and procedures, reviewing the encounter form for completeness. 4. The charges for the procedure should populate from the medical billing software. 5. Complete the CMS-1500 health insurance claim form and submit it electronically to the insurance company for reimbursement for services and procedures preformed. Which part of Medicare covers prescription drug services? - ANSPart D The medical assistant should always verify what prior to the patient's appointment? - ANSEffective date of insurance, will the patient be covered by insurance on the date of appointment, and review the insurance web portal The Affordable Care Act includes what categories of essential health benefits? - ANSAmbulatory patient services, hospitalization, mental health and substance use disorder service, prescription drugs, preventive and wellness service and chronic disease management, emergency services, maternity and newborn care, rehabilitative and rehabilitation services and devices, laboratory services, and pediatric services Which part of Medicare covers inpatient hospital charges? - ANSPart A