Question 1

ICD-10 codes in form locator 21 should be listed in order of precedence with number 1 being the primary diagnosis.

Accepted Answer

A) True 
 B)False

Question 2

A company that provides data processing and claims processing services to physician's offices is a(n) :

Accepted Answer

A)   billing service.
B)   independent auditing firm.
C)   clearinghouse.
D)   third-party administrator.

Question 3

If needed information is missing from a claim when it is submitted to an insurance carrier, it is referred to as a(n) :

Accepted Answer

A)   clean claim.
B)   dirty claim.
C)   erroneous claim.
D)   incomplete claim.

Question 4

The diagnosis code required in form locator 24E is the:

Accepted Answer

A)   ICD-10-CM code describing the patient condition.
B)   number of the diagnosis code listed in form locator 21 that points to the related service.
C)   number of diagnostic tests performed to justify the physician's diagnosis.
D)   diagnostic modifier, if applicable.

Question 5

Match the following
-A company hired by physician offices to file claims on their behalf

Accepted Answer

A)   release of information form
B)   superbill
C)   CMS-1500
D)   clearinghouse
E)   billing serviceF)  guarantorG)  policyholderH)  assignment of benefitsI)  UB-04J)  patient information form

Question 6

The place of service code is mandatory for all claims submitted to Medicare.

Accepted Answer

A) True 
 B)False

Question 7

Match the following
-Claim form used to report services provided by physicians

Accepted Answer

A)   release of information form
B)   superbill
C)   CMS-1500
D)   clearinghouse
E)   billing serviceF)  guarantorG)  policyholderH)  assignment of benefitsI)  UB-04J)  patient information form

Question 8

If a patient is covered by more than one health plan, form locator 11d is answered Yes and form locators 9, 9a, and 9d must be completed.

Accepted Answer

A) True 
 B)False

Question 9

Electronic claims can be submitted:

Accepted Answer

A)   directly to the carrier.
B)   through a clearinghouse.
C)   through a billing service.
D)   all of the above.

Question 10

The form that specifies which information from the medical chart may be released and to whom is a(n) ________ form.

Accepted Answer

release of...

Question 11

Claims may require provider identification numbers for the:

Accepted Answer

A)   ordering physician.
B)   referring physician.
C)   performing physician.
D)   all of the above.

Question 12

What information should be filled out in form locator 28?

Accepted Answer

A)   patient's account number.
B)   total charges.
C)   amount paid.
D)   physician's federal tax ID number.

Question 13

Physicians bill insurance carriers using a universal form, the________ claim form.

Accepted Answer

The answer of Physicians bill insurance carriers using a universal...

Question 14

Place of service codes used in form locator 24B include all of the following EXCEPT:

Accepted Answer

A)   private residence.
B)   urgent care facility.
C)   operating room.
D)   independent laboratory.

Question 15

Examples of standard code sets recognized under HIPAA include:

Accepted Answer

A)   CPT codes.
B)   HCPCS codes.
C)   ICD-10-CM codes.
D)   all of the above.

Question 16

A disadvantage of filing electronic claims is:

Accepted Answer

A)   increased claim rejections.
B)   increased administrative costs.
C)   inability to create an electronic attachment.
D)   inability to audit claims.

Question 17

On the CMS-1500 claim form, the abbreviation EMG indicates that:

Accepted Answer

A)   an employer identifier number must be entered.
B)   it must be noted if emergency services were provided.
C)   it must be noted if preauthorization was obtained.
D)   it must be noted if the service is considered emerging or experimental.

Question 18

On the CMS-1500 claim form, the abbreviation EIN refers to:

Accepted Answer

A)   Employer Identification Number.
B)   Employer Identifier for National Coverage.
C)   Estimated Insurance Number for payment.
D)   Examination Indicates Nothing.

Question 19

Electronic claims are entered into a computer system and then printed out to be filed in the patient's medical record.

Accepted Answer

A) True 
 B)False

Question 20

Match the following
-The company that provides data- and claims-processing services to physicians' offices for a fee

Accepted Answer

A)   release of information form
B)   superbill
C)   CMS-1500
D)   clearinghouse
E)   billing serviceF)  guarantorG)  policyholderH)  assignment of benefitsI)  UB-04J)  patient information form

Exam 10: Physician Medical Billing

On the CMS-1500 claim form, the abbreviation EMG indicates that:

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Place of service codes used in form locator 24B include all of the following EXCEPT:

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If a patient is covered by more than one health plan, form locator 11d is answered Yes and form locators 9, 9a, and 9d must be completed.

Correct AnswerverifiedShow Answer

The form that specifies which information from the medical chart may be released and to whom is a(n) ________ form.

Correct Answerverifiedrelease of...View AnswerShow Answer

The place of service code is mandatory for all claims submitted to Medicare.

Correct AnswerverifiedShow Answer

Physicians bill insurance carriers using a universal form, the________ claim form.

Correct AnswerverifiedShow Answer

Claims may require provider identification numbers for the:

Correct AnswerverifiedShow Answer

A disadvantage of filing electronic claims is:

Correct AnswerverifiedShow Answer

If needed information is missing from a claim when it is submitted to an insurance carrier, it is referred to as a(n) :

Correct AnswerverifiedShow Answer

A company that provides data processing and claims processing services to physician's offices is a(n) :

Correct AnswerverifiedShow Answer

Examples of standard code sets recognized under HIPAA include:

Correct AnswerverifiedShow Answer

The diagnosis code required in form locator 24E is the:

Correct AnswerverifiedShow Answer

On the CMS-1500 claim form, the abbreviation EIN refers to:

Correct AnswerverifiedShow Answer

What information should be filled out in form locator 28?

Correct AnswerverifiedShow Answer

Match the following -A company hired by physician offices to file claims on their behalf

Correct AnswerverifiedShow Answer

ICD-10 codes in form locator 21 should be listed in order of precedence with number 1 being the primary diagnosis.

Correct AnswerverifiedShow Answer

Electronic claims are entered into a computer system and then printed out to be filed in the patient's medical record.

Correct AnswerverifiedShow Answer

Match the following -The company that provides data- and claims-processing services to physicians' offices for a fee

Correct AnswerverifiedShow Answer

Match the following -Claim form used to report services provided by physicians

Correct AnswerverifiedShow Answer

Electronic claims can be submitted:

Correct AnswerverifiedShow Answer

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