130 Questions with Verified Answers| 100%
Correct| Latest 2026/2027 Update.
Question:
The insurance and coding specialist calls a carrier to verify a patient's
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insurance an the representative states that the patient's insurance was
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cancelled three months ago. Which of the following should the insurance
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specialist do first?? i,- i,-
Answer:
Ask the patient for another form of insurance coverage
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Question:
Which are the following are necessary to complete a CMS-1500 form
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(Choose 3) correct answers.?
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Answer:
Diagnosis CPT and ICD-10 codes, Physician information, Demographic
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information
Question:
,Which of the following reports is used to follow up on an outstanding
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claims to third party payers??
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Answer:
Aging
Question:
When following upon a denied claim an insurance specialist should have
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which of the following information available when speaking with the
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insurance company? Select 3 correct answers.?
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Answer:
Patient's insurance ID number, Physician's NPI number, and Date of service
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Question:
Developing an insurance claim begins when??
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Answer:
When the patient calls to schedule an appointment
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Question:
Which of the following must be verified to process a credit card
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transaction? Choose (3) correct answers.?
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Answer:
,Security code, credit card number, and account number
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Question:
The most effective method to manage statements and other financial
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invoices as well as avoid payment delays is to do what??
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Answer:
Collect fees at the time of service
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Question:
The patient owes $25.00 for the visit. The amount collected for the office
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visit is called what??
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Answer:
Copayment
Question:
The insurance carrier rate is 80% the remaining 20% is called what??
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Answer:
Coinsurance
Question:
, A third party payer made an error when adjudicating a claim which of the
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following should the specialist do??
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Answer:
resubmit the claim with an attachment explaining the error
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Question:
A claim submitted with all the necessary and accurate information so that
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it can be processed and paid is called??
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Answer:
A clean claim
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Question:
A medicare patient presents to an out patient hospital facility for a
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hysterectomy. To which medicare plan should be billed??
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Answer:
Part B i,-
Question:
The amount of the bill is $100 and this amount must be paid before the
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insurance company will pay on the claim. Which of the following is this
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called??