ACTUAL Exam Questions and CORRECT
Answers
Patients sign an __________ of benefits form so that the physician will receive payment for
services directly - CORRECT ANSWER - Assignment
Which of the following individuals would not normally be eligible for Medicare? - CORRECT
ANSWER - A 23-year-old recipient of AFDC would be eligible for Medicaid, not
Medicare
Which of the following steps to medical billing should be performed prior to rendering medical
services? - CORRECT ANSWER - Verify eligibility and collect the patient's insurance
info
Which of the following is a common reason why insurance claims are rejected? - CORRECT
ANSWER - Claim was sent to the wrong insurance plan
Which of the following methods can be used to determine a patient's eligibility for insurance? -
CORRECT ANSWER - Using the provider web portal sponsored by the patient's health
insurance company
The medical assistant should always verify which of the following prior to the patient's
appointment? - CORRECT ANSWER - Benefits and exclusions
Eligibility
Effective date of insurance
Insurance information should be collected on the first visit - CORRECT ANSWER - True
If the ICD-10-CM codes and the CPT/HCPCS codes do not match the claim will not show
__________ - CORRECT ANSWER - Medical necessity