1
Medicare
Medicare Certification Exam
Questions with Correct Verified
Answers, Already Passed!
(Complete & Accurate)
1. T/F: Billing for services not furnished and/or supplies not provided is
considered fraud. - ANS ✓True
2. T/F: Unbundling or "exploding" charges is considered fraud. - ANS ✓True
3. T/F: Misrepresentations of dates and descriptions for services furnished is
considered fraud. - ANS ✓True
4. T/F: Billing non-covered or non-chargeable services as covered items is
considered fraud. - ANS ✓True
5. ______________ are used as a classification for external causes of injury and
poisonings. - ANS ✓E codes
6. ___________ is a national health insurance program that provides hospital
insurance, medical insurance, and a voluntary prescription drug benefit. -
ANS ✓Medicare
7. In which volume would you find the hypertension table? - ANS ✓Volume 2
8. T/F: Hospice care and services are excluded from Consolidated Billing for
Part A residents who are in the Skilled Nursing Facility for other, non-
Medicare Certification
, 2
Medicare
hospice services that are in no way related to the terminal condition. - ANS
✓True
9. ________________ assist you in using Health Insurance Portability and
Accountability Act (HIPAA) standard transactions, version 5010. - ANS
✓Companion Guides
10.Volume 3: Tabular List and Alphabetic Index to Procedures contains codes
for what? - ANS ✓Procedures
11.T/F: Enrolment refers to the process that Medicare uses to establish
eligibility of health care providers to submit claims for Medicare-covered
services and supplies. - ANS ✓True
12.The practice of billing for services not furnished and/or supplies not
provided, including the billing of Medicare for appointments that the
patient failed to keep is considered ______________. - ANS ✓fraud
13.The following are examples of violations for which ________ may be imposed:
violation of the Medicare assignment provisions; violation of the Medicare
physician, provider, or supplier agreement; false or misleading
information expected to influence a discharge decision; violation of
assignment requirement for certain diagnostic clinical laboratory tests. -
ANS ✓Civil Monetary Penalties
14.Use only the most ___________ version of the ICD-10-CM in order for efficient
and accurate coding to happen. - ANS ✓current
15.A provider that bills Medicare Part B should contact the ________ to ask
general Medicare Secondary Payer (MSP)-related questions? - ANS
✓Coordination of Benefits Contractor
16.T/F: A beneficiary does not need to be enrolled in the Original Medicare
Plan to purchase a Medigap policy. - ANS ✓False
Medicare Certification
Medicare
Medicare Certification Exam
Questions with Correct Verified
Answers, Already Passed!
(Complete & Accurate)
1. T/F: Billing for services not furnished and/or supplies not provided is
considered fraud. - ANS ✓True
2. T/F: Unbundling or "exploding" charges is considered fraud. - ANS ✓True
3. T/F: Misrepresentations of dates and descriptions for services furnished is
considered fraud. - ANS ✓True
4. T/F: Billing non-covered or non-chargeable services as covered items is
considered fraud. - ANS ✓True
5. ______________ are used as a classification for external causes of injury and
poisonings. - ANS ✓E codes
6. ___________ is a national health insurance program that provides hospital
insurance, medical insurance, and a voluntary prescription drug benefit. -
ANS ✓Medicare
7. In which volume would you find the hypertension table? - ANS ✓Volume 2
8. T/F: Hospice care and services are excluded from Consolidated Billing for
Part A residents who are in the Skilled Nursing Facility for other, non-
Medicare Certification
, 2
Medicare
hospice services that are in no way related to the terminal condition. - ANS
✓True
9. ________________ assist you in using Health Insurance Portability and
Accountability Act (HIPAA) standard transactions, version 5010. - ANS
✓Companion Guides
10.Volume 3: Tabular List and Alphabetic Index to Procedures contains codes
for what? - ANS ✓Procedures
11.T/F: Enrolment refers to the process that Medicare uses to establish
eligibility of health care providers to submit claims for Medicare-covered
services and supplies. - ANS ✓True
12.The practice of billing for services not furnished and/or supplies not
provided, including the billing of Medicare for appointments that the
patient failed to keep is considered ______________. - ANS ✓fraud
13.The following are examples of violations for which ________ may be imposed:
violation of the Medicare assignment provisions; violation of the Medicare
physician, provider, or supplier agreement; false or misleading
information expected to influence a discharge decision; violation of
assignment requirement for certain diagnostic clinical laboratory tests. -
ANS ✓Civil Monetary Penalties
14.Use only the most ___________ version of the ICD-10-CM in order for efficient
and accurate coding to happen. - ANS ✓current
15.A provider that bills Medicare Part B should contact the ________ to ask
general Medicare Secondary Payer (MSP)-related questions? - ANS
✓Coordination of Benefits Contractor
16.T/F: A beneficiary does not need to be enrolled in the Original Medicare
Plan to purchase a Medigap policy. - ANS ✓False
Medicare Certification
