Name: Score:
25 Multiple choice questions
Term 1 of 25
A patient has called to schedule an appointment for an office visit to see the doctor tomorrow for
an earache. It is discovered during the scheduling process that the Insurance policy on file has
been cancelled . Which of the following should the Insurance and coding specialist do next?
The husband's insurance
patient's claim number, physician NPI, and patient insurance ID number
Advise the patient to bring current Insurance Information to the appointment
Preauthorization
Term 2 of 25
Which of the following are necessary to complete a CMS 1500 form?
the provider's office location and contact number
diagnosis and CPT codes, physician information, and demographic information
patient's insurance policy details and payment history
the patient's consent form and appointment schedule
Term 3 of 25
The patient is sent a statement for an office visit. The total amount of the bill is $100.00 and this
amount must be paid before the insurance company will pay on the claim. Which of the following
is this called?
deductible
premium
coinsurance
allowed amount
, Term 4 of 25
The most effective method to manage patient, statements and other financial invoices as well as
avoid payment delays Is to
wait for the insurance to process the claim first
offer payment plans to patients after services
send invoices after the service is completed
collect fees at the time of service
Term 5 of 25
Which of the following modifiers is required for a return to the operating room for an unplanned
related procedure or service by the same physician during the postoperative period?
24
78
79
aging
Term 6 of 25
When filing an electronic insurance claim, the insurance and coding specialist processes which of
the following forms?
Ub-04 claim form
Cms-1495 claim form
CMS-1500 claim form
Encounter form
25 Multiple choice questions
Term 1 of 25
A patient has called to schedule an appointment for an office visit to see the doctor tomorrow for
an earache. It is discovered during the scheduling process that the Insurance policy on file has
been cancelled . Which of the following should the Insurance and coding specialist do next?
The husband's insurance
patient's claim number, physician NPI, and patient insurance ID number
Advise the patient to bring current Insurance Information to the appointment
Preauthorization
Term 2 of 25
Which of the following are necessary to complete a CMS 1500 form?
the provider's office location and contact number
diagnosis and CPT codes, physician information, and demographic information
patient's insurance policy details and payment history
the patient's consent form and appointment schedule
Term 3 of 25
The patient is sent a statement for an office visit. The total amount of the bill is $100.00 and this
amount must be paid before the insurance company will pay on the claim. Which of the following
is this called?
deductible
premium
coinsurance
allowed amount
, Term 4 of 25
The most effective method to manage patient, statements and other financial invoices as well as
avoid payment delays Is to
wait for the insurance to process the claim first
offer payment plans to patients after services
send invoices after the service is completed
collect fees at the time of service
Term 5 of 25
Which of the following modifiers is required for a return to the operating room for an unplanned
related procedure or service by the same physician during the postoperative period?
24
78
79
aging
Term 6 of 25
When filing an electronic insurance claim, the insurance and coding specialist processes which of
the following forms?
Ub-04 claim form
Cms-1495 claim form
CMS-1500 claim form
Encounter form
