©BRIGHTSTARS EXAM SOLUTIONS
11/14/2024 12:19 PM
Medical Billing & Coding: Final Exam Study
Guide Questions With Verified Answers
Medicare - answer✔The largest federal program providing healthcare is __________________
which provides health insurance for citizens aged 65 and older as well as certain patients under
the age of 65.
Medical Assistant - answer✔The ___________________ ______________ is responsible for
filing insurance claims in most medical offices..
Assignment, Benefits - answer✔Patients are generally asked to sign an _____________ of
_____________statement, in which the provider agrees to prepare healthcare claims for
patients, receive payments directly from the payers, and accept a payer's allowed charge.
Policyholder - answer✔The ______________ may be called the insured, the member, or the
subscriber.
Premium, an annual charge - answer✔Under an insurance policy, the policyholder pays a
__________ or _________________________ for keeping the insurance policy in force.
Deductible - answer✔A ___________________ is a fixed dollar amount that must be paid or
"met" once a year, in addition to the premium, before the third-party payer begins to cover
medical expenses.
Co-payment - answer✔A ____________________ is a small, fixed fee collected at the time of
the visit from the patients who belong to a managed care health plan.
After - answer✔In a typical medical practice, claims are transmitted within a few business days
____________ the date of service.
Diagnosis code - answer✔Insurance claims could be denied as a billing error because if the
treatment was not medically necessary based on the ____________________ and there is no
evidence of code linkage.
Review, Allowable - answer✔In the ____________ for ___________ benefits, the claims
department compares the fees the physician has charged with the benefits provided by the
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, ©BRIGHTSTARS EXAM SOLUTIONS
11/14/2024 12:19 PM
patient's health insurance policy to determine the amount of deductible or coinsurance the
patient owes.
liability - answer✔The total amount the patient owes the practice, including coinsurance,
copayment, deductible, and noncovered services, is known as the patients
__________________.
Liability - answer✔_____________________ insurance covers injuries caused by the insured or
that occurred on the insured's property.
Automatic - answer✔Although eligibility for Medicare Part B is automatic for people entitled to
Medicare Part B coverage is not ______________________.
hospital - answer✔Medicare Part A is a _______________ benefit for patients who are
admitted as inpatients for up to the 90-day benefit period.
60 - answer✔A Medicare benefit period begins the day a patient is admitted to the hospital and
ends when that patient has not been hospitalized or placed in a skilled nursing facility for a
period of ________ continuous days after discharge.
assistance, insurance - answer✔Medicaid is a health cost _________________ program
designed for low-income, blind, or disabled patients. It is not an ______________ program.
Medicare - answer✔Workers of any age who have chronic kidney disease requiring dialysis or
end-stage renal disease (ESRD) requiring transplant are eligible for ________________.
Respite - answer✔____________ is a short break provided for caregivers to terminally ill
patients. The patient is moved to a respite care center or other facility to remove responsibility
for care from the caregiver temporarily.
Hospice - answer✔____________ programs provide pallitative care, including pain relief and
support for terminal patients and their family members.
Medicare(3) - answer✔___________ is responsible for paying 80% of the allowed charges after
the patient has met the annual deductible, as patients typically have an 80-20 coinsurance.
RBRVS (Resource based Relative Value Scale) - answer✔Medigap is not a part of Medicare's
_______________________________________________.
Inferior - answer✔People who qualify for Medicaid assistance are in no way _____________ to
those with private insurance.
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11/14/2024 12:19 PM
Medical Billing & Coding: Final Exam Study
Guide Questions With Verified Answers
Medicare - answer✔The largest federal program providing healthcare is __________________
which provides health insurance for citizens aged 65 and older as well as certain patients under
the age of 65.
Medical Assistant - answer✔The ___________________ ______________ is responsible for
filing insurance claims in most medical offices..
Assignment, Benefits - answer✔Patients are generally asked to sign an _____________ of
_____________statement, in which the provider agrees to prepare healthcare claims for
patients, receive payments directly from the payers, and accept a payer's allowed charge.
Policyholder - answer✔The ______________ may be called the insured, the member, or the
subscriber.
Premium, an annual charge - answer✔Under an insurance policy, the policyholder pays a
__________ or _________________________ for keeping the insurance policy in force.
Deductible - answer✔A ___________________ is a fixed dollar amount that must be paid or
"met" once a year, in addition to the premium, before the third-party payer begins to cover
medical expenses.
Co-payment - answer✔A ____________________ is a small, fixed fee collected at the time of
the visit from the patients who belong to a managed care health plan.
After - answer✔In a typical medical practice, claims are transmitted within a few business days
____________ the date of service.
Diagnosis code - answer✔Insurance claims could be denied as a billing error because if the
treatment was not medically necessary based on the ____________________ and there is no
evidence of code linkage.
Review, Allowable - answer✔In the ____________ for ___________ benefits, the claims
department compares the fees the physician has charged with the benefits provided by the
1|Page
, ©BRIGHTSTARS EXAM SOLUTIONS
11/14/2024 12:19 PM
patient's health insurance policy to determine the amount of deductible or coinsurance the
patient owes.
liability - answer✔The total amount the patient owes the practice, including coinsurance,
copayment, deductible, and noncovered services, is known as the patients
__________________.
Liability - answer✔_____________________ insurance covers injuries caused by the insured or
that occurred on the insured's property.
Automatic - answer✔Although eligibility for Medicare Part B is automatic for people entitled to
Medicare Part B coverage is not ______________________.
hospital - answer✔Medicare Part A is a _______________ benefit for patients who are
admitted as inpatients for up to the 90-day benefit period.
60 - answer✔A Medicare benefit period begins the day a patient is admitted to the hospital and
ends when that patient has not been hospitalized or placed in a skilled nursing facility for a
period of ________ continuous days after discharge.
assistance, insurance - answer✔Medicaid is a health cost _________________ program
designed for low-income, blind, or disabled patients. It is not an ______________ program.
Medicare - answer✔Workers of any age who have chronic kidney disease requiring dialysis or
end-stage renal disease (ESRD) requiring transplant are eligible for ________________.
Respite - answer✔____________ is a short break provided for caregivers to terminally ill
patients. The patient is moved to a respite care center or other facility to remove responsibility
for care from the caregiver temporarily.
Hospice - answer✔____________ programs provide pallitative care, including pain relief and
support for terminal patients and their family members.
Medicare(3) - answer✔___________ is responsible for paying 80% of the allowed charges after
the patient has met the annual deductible, as patients typically have an 80-20 coinsurance.
RBRVS (Resource based Relative Value Scale) - answer✔Medigap is not a part of Medicare's
_______________________________________________.
Inferior - answer✔People who qualify for Medicaid assistance are in no way _____________ to
those with private insurance.
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