MEDICAL BILLING TEST QUESTIONS
AND ANSWERS WITH SOLUTIONS 2024
NPI - ANSWER unique ten digit identifier assigned to each provider by the national provider system
CMS-1500 - ANSWER paper claim for physician services
Timely filing - ANSWER Medicare requires claim to be filed no later than within one calendar year after
the date of service
CCI edits - ANSWER apply to Medicare claims that bill for more than one procedure performed on the
same patient; on the same date of service; by the same performing provider.
Global period - ANSWER days surrounding a surgical procedure when all services relating to the
procedure are considered part of the surgical package
Modifier - ANSWER two-digit character attached to a procedure code. Indicates special circumstances
involved with procedures
ABN Advance Beneficiary Notice - ANSWER form used by medicare to show patients' charges
COB Coordination of Benefits - ANSWER explains how an insurance policy will pay if more than one
policy applies
Guarantor - ANSWER person who is the insurance policyholder for a patient
Coinsurance - ANSWER Portion of covered charges the insured must pay beyond any applicable
deductible. It is a specified percentage of each fee for a covered service the patient must pay the
provider.
Remittance Advice - ANSWER A document sent by an insurance carrier that services obtained and the
reimbursements, or reasons for lack of reimbursement
AND ANSWERS WITH SOLUTIONS 2024
NPI - ANSWER unique ten digit identifier assigned to each provider by the national provider system
CMS-1500 - ANSWER paper claim for physician services
Timely filing - ANSWER Medicare requires claim to be filed no later than within one calendar year after
the date of service
CCI edits - ANSWER apply to Medicare claims that bill for more than one procedure performed on the
same patient; on the same date of service; by the same performing provider.
Global period - ANSWER days surrounding a surgical procedure when all services relating to the
procedure are considered part of the surgical package
Modifier - ANSWER two-digit character attached to a procedure code. Indicates special circumstances
involved with procedures
ABN Advance Beneficiary Notice - ANSWER form used by medicare to show patients' charges
COB Coordination of Benefits - ANSWER explains how an insurance policy will pay if more than one
policy applies
Guarantor - ANSWER person who is the insurance policyholder for a patient
Coinsurance - ANSWER Portion of covered charges the insured must pay beyond any applicable
deductible. It is a specified percentage of each fee for a covered service the patient must pay the
provider.
Remittance Advice - ANSWER A document sent by an insurance carrier that services obtained and the
reimbursements, or reasons for lack of reimbursement
