Medical Wig Certification Final Exam

What is the medical term for medical grade wigs?

Medical Wig

Cranial Cover

Cranial Prosthesis

You must be a licensed cosmetologist or have a registered medical business to sell medical wigs.

True

False

Which of the following describes the difference between medial wigs and fashion wigs?

There is no true difference, you just charge more.

A medical wig is constructed according to the patients needs.

Medical wigs are manufactured by certified doctors who specialize in medical wigs.

True

False

In order to sell medical grade wigs you have to be CPI and HIPAA compliant to submit for the client. There is no other way to run a medical wig business.

True

False

You can bill an insurance company on behalf of the client without needing a prescription.

True

False

Who can prescribe a medical wig for a client?

You-the Cranial Prosthesis Expert

Dermatologist

Hair Stylist

Salon Owner

Once you become NPI and HIPAA compliant and register with CAQH you can start applying to work with insurance companies.

True

False

What is the purpose of the NPI?

NPI is your medical wig business phone number

NPI is like your EIN, use it for taxes

NPI is the ID number that says your company is certified to sell medical grade equipment

What is the difference between being in-network and out-of-network with insurance companies?

In-network means you can bill insurance, out-of-network means you cannot bill the insurance company

In-network means you can bill insurance and out-of network means you can bill insurance by submitting a superbill

Which of the following is NOT considered health insurance fraud?

Submitting multiple claims and bills for the same service.

Submitting an insurance claim.

Incorrect reporting of diagnoses or procedures

Submitting multiple bills for the same service.

Your client wants a wig. They have a diagnoses and CPT code but are insured with Medicare. What do you do next?

Nothing, you can't work with them because cranial prostheses are not covered under Medicare

Share that you cannot submit a claim with Medicare but you can recommend some organizations that provide free medical grade wigs.

Your client wans a wig. They have a diagnoses and CPT code but are insured with a private insurance company. What do you do next?

Deny their request because you cannot work with out-of-network companies.

Send a request to their insurance company to get in-network with them

Work with them because you can send the out-of-network company a superbill

Your client is experiencing hair loss and wants their insurance to cover the purchase of a wig but they do not have an official diagnoses or prescription. What do you do next?

Send in the claim anyway and see what happens

Recommend she sees a dermatologist and get an official diagnosis and prescription so you can help her.

Call her insurance company to see if they will cover the cost of her wig

Medical Wig Certification Final Exam

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