1. which of the following information should the billing and coding specialist
input block 33a on the CMS 1500 claim form
-provider social security number
-federal tax id number
-patients id number
-nationalovider identification numb prer
Answer
npi
2. which of the following statements is correct regarding a deductible?
-coinsurance is a type of deductible
-the physician should write off the deductible
- the insurance company pays for the deduct
-the deductible is the pts responsibility
Answer
the deductible is the pts responsibility
3. which is the following claims is submitted and then optically scanned by the
insurance carrier and converted to an electronic form?
-paper claim
-pending claim
-clean claim
-rejected claim
Answer
paper claim
a paper claim is submitted on a paper and requires optical scanning to convert to
electronic form
,4. a pt who has a primary malignant neoplasm of the lung shoud be referred
to which of the following specialists?
-cardiologist
-pulmonary oncologist
-thoracic surgeon
-hematologist
Answer
pulmonary oncologist
a pt who has lung cancer would be referred to a pulmonary oncologist
5. which of the following statements is true regarding the release of pt
records?
- verbal request for records from life insurance companies are appropriate
-identification is not required when requesting access to the pts records
-pt access to psychotherapy notes may be restricted
-providers cant share pts records if they are mentally unstables
Answer
pt access to psychotherapy notes may be restricted
6. which of the following is the primary function of the heart?
-pumping blood in the circulatory system
-creating new blood from the bone marrow
-deoxygenating blood in the lungs
-ridding the blood of the free radicals
Answer
- pumping blood in the circulatory system
,7. a deductible of $100 is applied to a pts remittance advice. the provider
requests that account personnel write it off. which of the following terms
describes this senerio?
-fraud
-abuse
-adjudication
-spend down
Answer
fraud
8. a pt has AARP as 2ndy insurance. in which of the following blocks on the
CMS-1500 claim form should this information be enetered?
-block 1a
-block 9
-block 21
-block 16
Answer
block 9
9. a pt with a past due balance request that his records be sent to another
provider. which of the following actions should be taken?
-withhold the records until the account is paid
-send the pt a statement
-accommodate the request and send the records
-begin collection action on the balance
Answer
accommodate the request and send the records
, 10. a claim is submitted with a transposed insurance member id number and
returned to the provider which of the following describes the status that
should be assigned to the claim by the carrier
-suspended
-pending
-denied
-invaild
Answer
invalid
11. which of the following medical terms refers to the sac that encloses the
heart?
-endocardium
-epicardium
-myocardium
-pericardium
Answer
pericarium
peri means around and cardium means pertaining to heart
12. on remittance advice form which of the following is responsible for writing
off the difference between the amount billed and the amount allowed by the
agreement
-provider
-insurance company
input block 33a on the CMS 1500 claim form
-provider social security number
-federal tax id number
-patients id number
-nationalovider identification numb prer
Answer
npi
2. which of the following statements is correct regarding a deductible?
-coinsurance is a type of deductible
-the physician should write off the deductible
- the insurance company pays for the deduct
-the deductible is the pts responsibility
Answer
the deductible is the pts responsibility
3. which is the following claims is submitted and then optically scanned by the
insurance carrier and converted to an electronic form?
-paper claim
-pending claim
-clean claim
-rejected claim
Answer
paper claim
a paper claim is submitted on a paper and requires optical scanning to convert to
electronic form
,4. a pt who has a primary malignant neoplasm of the lung shoud be referred
to which of the following specialists?
-cardiologist
-pulmonary oncologist
-thoracic surgeon
-hematologist
Answer
pulmonary oncologist
a pt who has lung cancer would be referred to a pulmonary oncologist
5. which of the following statements is true regarding the release of pt
records?
- verbal request for records from life insurance companies are appropriate
-identification is not required when requesting access to the pts records
-pt access to psychotherapy notes may be restricted
-providers cant share pts records if they are mentally unstables
Answer
pt access to psychotherapy notes may be restricted
6. which of the following is the primary function of the heart?
-pumping blood in the circulatory system
-creating new blood from the bone marrow
-deoxygenating blood in the lungs
-ridding the blood of the free radicals
Answer
- pumping blood in the circulatory system
,7. a deductible of $100 is applied to a pts remittance advice. the provider
requests that account personnel write it off. which of the following terms
describes this senerio?
-fraud
-abuse
-adjudication
-spend down
Answer
fraud
8. a pt has AARP as 2ndy insurance. in which of the following blocks on the
CMS-1500 claim form should this information be enetered?
-block 1a
-block 9
-block 21
-block 16
Answer
block 9
9. a pt with a past due balance request that his records be sent to another
provider. which of the following actions should be taken?
-withhold the records until the account is paid
-send the pt a statement
-accommodate the request and send the records
-begin collection action on the balance
Answer
accommodate the request and send the records
, 10. a claim is submitted with a transposed insurance member id number and
returned to the provider which of the following describes the status that
should be assigned to the claim by the carrier
-suspended
-pending
-denied
-invaild
Answer
invalid
11. which of the following medical terms refers to the sac that encloses the
heart?
-endocardium
-epicardium
-myocardium
-pericardium
Answer
pericarium
peri means around and cardium means pertaining to heart
12. on remittance advice form which of the following is responsible for writing
off the difference between the amount billed and the amount allowed by the
agreement
-provider
-insurance company
