Medical Billing and Coding Practice Test Questions with complete Solutions

Medical Billing and Coding Practice Test Questions with complete Solutions Which of the following Medicare policies determines if a particular item or service is covered by Medicare? Which of the following is considered the final determination of the issues involving settlement of an insurance claim? A form that contains charges, DOS, CPT codes, ICD codes, fees and copayment information A patient comes to the hospital for an inpatient procedure. Which of the following hospital staff members is responsible for the initial patient interview, obtaining demographic and insurance information and documenting the chief complaint. Which of the following privacy measures ensures protected health information (PHI) Divides the body from left and right Which of the following provisions ensures that an insured's benefits from all insurance companies do not exceed 100% of allowable medical expenses? Which of the following actions should be taken first when reviewing a delinquent claim? Advantage of electronic claim submission Which of the following components of an explanation of benefits expedites the process of a phone appeal? Which of the following actions by a billing and coding specialist is considered fraud?