Medical Billing Mock Test 1
Medical Billing Mastery Quiz
Test your knowledge and skills in medical billing with our comprehensive quiz designed for healthcare professionals. Whether you are a beginner or an experienced medical biller, this quiz offers a variety of questions that will challenge your understanding of key concepts in the field.
Key Features:
- 21 multiple choice questions
- Immediate feedback on answers
- Learn about Medicare, insurance carriers, claims processing, and more!
What is CMS Stands For ?
Center for medicare & medicaid services
Center for medicaid & medicare services
Center for medical & medicare services
Center for medical & medicaid services
Which of the following is not a private insurance carrier?
Cigna
CMS
Aetna
United Healthcare
What is a valid POS for an office?
22
11
21
24
If you are submitting a corrected claim, you must do the following:
Write "CORRECTED CLAIM" in box 19
Put the original claim number in box 23 and write "Corrected claim" in box 19
Use Code 7 in box 22 with an ICN.
Only use a paper claim so you can write "CORRECTED CLAIM" in big letters on the top. Use code 7 for replacement claims and use the original claim number (ICN) in that box.
COB stands for ?
Carrier orientation of benefits
Coordination of benefits
Correct order of benefits
Carrier obligation of benefits
What is the formula for Allowed Amount ?
Paid Amt + Allowed Amt
Allowed Amt - Patient Responsibility
Paid Amt + Patient Responsibility
Paid Amt = Patient Responsibility
You are reading a Medicare RA. You see that Medicare has allowed the full amount but paid nothing. The total allowed amount is $145. The claims adjustment reason code reads CO-1. What do you do?
Call Medicare because they didn't pay.
Contact coding and see if they can fix the claim.
Submit the claim again with a modifier.
Send the patient a bill.
Pathology and Laboratory Procedures Starts with ?
7
9
8
0
Which field in CMS-1500 for Diagnosis codes ?
20
21
23
21E
If Received 4- Denied code what we will do?
Need to call insurance and correct the prcedure code
Need to send coding team and check procedure code & Modifier
Need to call insurance and correct the prcedure code
None of the above
Tricare is insurance for ?
Active-duty military and their families
Surviving spouses of military service members.
Retired service members
All of the above
If denied uhc insurance for medical records & also we have web portal what you will do?
Sumitted the medical records in website
Call the insurance and get the mailling address or fax then we will send it
No need to send the medical records
None of the above
A patient comes in with a piece of metal shavings in his eye that he got while welding at his job. He has Anthem health insurance through his work. Which of the following insurances would cover his visit?
Medicaid
Anthem
Worker's compensation
Disability insurance
The difference between an HMO and a PPO is:
HMOs cost less, but provide better care.
PPO plans allow patients to be seen out of network at an increased cost, while HMOs do not.
HMO plans allow patients to be seen out of network at an increased cost, while PPOs do not.
There is no difference between HMOs and PPOs.
A patient receiving ambulatory care at a hospital or other health facility without being admitted as a bed patient is called an?
Inpatient
Carrier
Outpatient
Adjuster
A request for payment under an insurance contractor bond is called an ?
Insurance application
Claim
Dual choice request
Total disability
Payment made periodically to keep an insurance policy in force is called ?
Time limit
Premium
Coinsurance
Fee-for-service
A person or institution that gives medical care is an ?
Insurance agent
Adjuster
Third-party payer
Provider
An amount the insured must pay before policy benefits begin is called ?
Indemnity
Extended benefits
Deductible
Catastrophic
An organization that offers health insurance at a fixed monthly premium with little or no deductible and works through a primary care provider is called an
PPO
HMO
EPO
POS
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