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1. Which of the following sections of the medical record is used to determine
the correct evaluation and management code used for billing and coding?
Ans>> -
history and physical
2. A billing and coding specialist is reviewing a CMS 1500 claim form. The
assignment of benefits box has been checked yes. The checkbox indicates which of
the following?
Ans>> The provider receives payment directly from the payer
3. Which of the following two physicians use to electronically submit claims?-
Ans>> Clearinghouse
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,4. Which of the following should the billing and coding specialist include in an
authorization to release information?
Ans>> the entity to whom the information is to be released
5. Which of the following describes the content of a medical practice aging report?
Ans>> An overview of the practice's outstanding claims
6. Hipaa transaction standards apply to which of the following entities?
Ans>> Health care clearinghouses
7. When a physician documents a patient's response to symptoms in various body
systems the results are documented as which of the following?
Ans>> Review of systems
8. Which part of Medicare covers prescriptions?
Ans>> Part D
9. Which of the following indicates a claim should be submitted on paper instead
of electronically?
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,Ans>> The claim requires an attachment
10. Medicare and forces mandatory submission of electron a claims for most
providers. Which of the following providers is allowed to submit paper claims to
Medicare?
Ans>> A providers office with fewer than 10 full-time employees
11. Which of the following is the correct term for an amount that has been
determined to be uncollectible?
Ans>> Bad debt
12. Which of the following statements is correct regarding a deductible?
Ans>> The deductible is the patient's responsibility
13. Which of the following statements is true regarding the release of patient records?
Ans>> Patient access to psychotherapy notes may be restricted
14. Why does correct claim processing rely on accurately completed en- counter
forms?
Ans>> They streamline patient billing by summarizing the services ren- dered for a given
date of service
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, 15. When posting payment accurately which of the following items to the billing
and coding specialist include?
Ans>> Patient responsibility
16. A dependent child whose parents both have insurance coverage comes to the clinic.
The billing and coding specialist uses the birthday ruled determine which insurance
policy is primary. Which of the following describes the birth- day rule?
Ans>> The parent whose birthday comes first in the calendar year
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