Week 3
Dermatology Claims Quiz
Test your knowledge on medical billing and claims related to dermatology procedures with this engaging quiz! Whether you are a professional in the field or just curious about how the system works, this quiz covers essential topics that are crucial for understanding patient liabilities and proper process actions.
- 6 Multiple Choice Questions
- Score Your Knowledge
- Learn about Dermatology Billing Practices
If the Preferred Dermatologist bills one charge on the claim for $200.00 in his office, the procedure code is 11300, and the allowance for the procedure is $50.00. What is the patient's liability if they have a Basic Option Contract.
$150.00
$40.00
$50.00
None of the above
When medical records are received, and IBCX is on an override field, the proper action is:
Review the records and make a processing decision.
Follow the directions in the CXT Provider Appeals BL to determine if a JIRA review is needed.
Sent to Medical Review for processing decision.
Refresh your coffee.
When a Customized PPO Directory needs to be printed and mailed to the member you should route to PNDS.
True
False
Who makes the decisions when we are having systems issues to roll calls?
Snow White
WFM
Rocco Solimando
Your OE
What is the closing question that MUST be asked prior to ending your call?
What time is it ?
Are you done asking me questions?
Was the service I provided outstanding today?
Do you have the winning lottery number?
Should we be offering the Hedis Brainshark on all member calls?
True
False
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