CHAPTER 11 EXAM ACTUAL UPDATED QUESTIONS AND
VERIFIED ANSWERS
Insurance Billing Guidelines - ANSWER provider services for inpatient care are billed on a fee-
for-service basis. Appropriately report services.
The surgeon's charges for inpatient and outpatient surgery are billed according to global fee(or
global surgery package
Optical Scanning Guidelines - ANSWER uses a device to convert printed or handwritten
characters into text that can be viewed by an optic character reader (OCR).
Entering Patient and Policyholder
Names - ANSWER separate the last name, first name, and middle initial with commas. When
entering policyholder names separate the last name, first name, and middle initial with
commas. If the patient is the policyholder, enter the patient's name as last name, first name and
middle initial (separated by commas).
Entering Provider Names - ANSWER When entering the name of a provider on the CMS-1500
claim,enter the first name, middle initial (if known), Last name, and credentials (e.g., MARY
SMITH MD) Do not enter any punctuations.
Entering Mailing Addresses
and Telephone Numbers - ANSWER Do not enter commas,periods, or other punctuations in the
address. When entering a nine digit zip code, enter the hyphen. Do not enter parentheses for
the area code because they are preprinted on the claim. Do not enter spaces in the telephone
number.
VERIFIED ANSWERS
Insurance Billing Guidelines - ANSWER provider services for inpatient care are billed on a fee-
for-service basis. Appropriately report services.
The surgeon's charges for inpatient and outpatient surgery are billed according to global fee(or
global surgery package
Optical Scanning Guidelines - ANSWER uses a device to convert printed or handwritten
characters into text that can be viewed by an optic character reader (OCR).
Entering Patient and Policyholder
Names - ANSWER separate the last name, first name, and middle initial with commas. When
entering policyholder names separate the last name, first name, and middle initial with
commas. If the patient is the policyholder, enter the patient's name as last name, first name and
middle initial (separated by commas).
Entering Provider Names - ANSWER When entering the name of a provider on the CMS-1500
claim,enter the first name, middle initial (if known), Last name, and credentials (e.g., MARY
SMITH MD) Do not enter any punctuations.
Entering Mailing Addresses
and Telephone Numbers - ANSWER Do not enter commas,periods, or other punctuations in the
address. When entering a nine digit zip code, enter the hyphen. Do not enter parentheses for
the area code because they are preprinted on the claim. Do not enter spaces in the telephone
number.
