FULL QUESTION BANK AND ANSWERS
◉ NAME OF REFERRING PHYSICIAN OR OTHER SOURCE. Answer:
The _______________________________ in the CMS 1500 form can be left
blank and still result in a clean claim.
◉ INSURANCE CARD. Answer: During an initial visit, the
____________________________ of the patient should be collected.
◉ CENTERS FOR MEDICARE AND MEDICAID SERVICES. Answer:
The ________________________________________sets the standards applicable
to private insurance through its proposed and final rules
◉ EXPIRATION DATE. Answer: The release of Information form
always includes the __________________________________________.
◉ CREDIT COLUMN. Answer: When posting the payment to an
account, an insurance payment should be recorded on the
______________________________________.
◉ STONE IN THE GALLBLADDER. Answer: Cholelithiasis is
associated with _____________________________ causing abdominal pain.
,◉ DATE OF SERVICE. Answer: A billing and coding specialist
working on an aging report within the payer area should sort next
by _________________________________________.
◉ UNITS OF SERVICE. Answer: No data on the
_____________________________________ could delay claim processing.
◉ SUPERIOR. Answer: The terminology when coding a directional
area is _______________________________.
◉ RHINOPLASTY. Answer: A patient with nasal deformity undergoes
_______________________________.
◉ THE ADJUSTMENT AMOUNT IS $75. Answer: Office Visit allowed
amount is $175. Co-payment is $15. The insurance paid $85.
__________________________________________________.
◉ KIDNEY STONES. Answer: Nephrolithiasis is associated with
____________________________________.
◉ NPI OF THE PROVIDER WHO PROVIDED THE SERVICE. Answer:
The ___________________________________________ is the billing provider NPI.
, ◉ DEDUCTIBLE. Answer: __________________________ is the amount that
the patient is responsible for before insurance provides coverage.
◉ EXAMPLE OF EDI. Answer: An _____________________________________ is
the exchange of personal health information via a standardized
format through computer systems.
◉ EXAMPLE OF FRAUD. Answer: An
_____________________________________ is when a service not undertaken or
done in an appointment is billed to the insurance company.
◉ EMERGENCY ROOM CHARGES. Answer: Medicare Part B covers
_________________________________________________.
◉ CLAIMS SHOULD BE MAILED. Answer:
_________________________________________________ if the practice
management software is not able to transmit claims electronically.
◉ GASTROENTEROLOGIST. Answer: An endoscopy is performed by a
_______________________________.
◉ THE PAYMENTS SHOULD BE APPLIED. Answer: After the billing
and coding specialist receives an EOB,
_________________________________________________.