Billing & Coding final exam Questions With Complete
Solutions
_____ means that the doctor, provider, or supplier agree (or is
required by law) to accept the Medicare-approved amount as full
payment for covered services. Correct Answers Assignment
A _____ is used to inform third-party payers that circumstances
for a particular code have been altered. Correct Answers
Modifier
A nonprofit organization created to improve patient care quality
and health plan performance in partnership with managed care
plans, purchasers, consumers, and the public sector is known as
the: Correct Answers National Committee for Quality
Assurance (NCQA)
A private or public company that often serves as the middleman
between providers and billing groups, payers, and other health
care partners for the transmission and translation of electronic
claims information into the specific format required by payers is
known as: Correct Answers Clearinghouse
A private or public company that often serves as the middleman
between providers and billing groups, payers, and other health
care partners for the transmission and translation of electronic
claims information into the specific format required by payers is
known as: Correct Answers Clearinghouse
A professional courtesy discount is an example of a(n): Correct
Answers Adjustment
, A(n) _____ form lists the procedures performed in a medical
office and their respective codes. Correct Answers encounter
A(n) _____ form lists the procedures performed in a medical
office and their respective codes. Correct Answers encounter
A(n) _____ is also known as a statement of financial position.
Correct Answers balance sheet
Accounting systems include all but which of the following?
Correct Answers practice manager
Ambulatory payment classification (APC) is: Correct Answers
All of the above
An example of a bad debt _____ would be if a patient owes the
office $200 and the patient dies unexpectedly, leaving the
remaining balance of $200 uncollectible. Correct Answers
write off
Another variable with primary and secondary coverage occurs
when a person qualifies for Medicare by virtue of age but
remains employed. If the employee continues to work and is
employed by a company with 20 or more employees: Correct
Answers the group plan is billed as primary and Medicare is
billed as secondary
Components of the pegboard system include: Correct Answers
All of the above
Solutions
_____ means that the doctor, provider, or supplier agree (or is
required by law) to accept the Medicare-approved amount as full
payment for covered services. Correct Answers Assignment
A _____ is used to inform third-party payers that circumstances
for a particular code have been altered. Correct Answers
Modifier
A nonprofit organization created to improve patient care quality
and health plan performance in partnership with managed care
plans, purchasers, consumers, and the public sector is known as
the: Correct Answers National Committee for Quality
Assurance (NCQA)
A private or public company that often serves as the middleman
between providers and billing groups, payers, and other health
care partners for the transmission and translation of electronic
claims information into the specific format required by payers is
known as: Correct Answers Clearinghouse
A private or public company that often serves as the middleman
between providers and billing groups, payers, and other health
care partners for the transmission and translation of electronic
claims information into the specific format required by payers is
known as: Correct Answers Clearinghouse
A professional courtesy discount is an example of a(n): Correct
Answers Adjustment
, A(n) _____ form lists the procedures performed in a medical
office and their respective codes. Correct Answers encounter
A(n) _____ form lists the procedures performed in a medical
office and their respective codes. Correct Answers encounter
A(n) _____ is also known as a statement of financial position.
Correct Answers balance sheet
Accounting systems include all but which of the following?
Correct Answers practice manager
Ambulatory payment classification (APC) is: Correct Answers
All of the above
An example of a bad debt _____ would be if a patient owes the
office $200 and the patient dies unexpectedly, leaving the
remaining balance of $200 uncollectible. Correct Answers
write off
Another variable with primary and secondary coverage occurs
when a person qualifies for Medicare by virtue of age but
remains employed. If the employee continues to work and is
employed by a company with 20 or more employees: Correct
Answers the group plan is billed as primary and Medicare is
billed as secondary
Components of the pegboard system include: Correct Answers
All of the above
