LATEST UPDATE 2026/2027 | GRADED A+ |GUARANTEED
PASS.
The amount of money set aside to cover an expense is called?
B. An Accrual
In a physician practice, Pre-service Revenue Cycle consists of:
D. All the answers are correct
Intentional misrepresentations that can result in criminal prosecution, civil
liability and Administrative sanctions are known as?
Abuse
A benefit period is a method Medicare uses to measure inpatient utilization for
each Medicare patient, There is no limit on the number of benefits period. What
are the 2019 Deductible, Co-Insurance and Life Time Reserve amounts?
Deductible $1364.00
Co-Insurance $341.00
Life Time Recovery Days $682.00
In following up on an unpaid claim, simply asking for a status of the claim: Will
always result in honest responses
__ are organizations that are hired by employers to process claims, administer
benefits Per the employer's policies and pay claims as they determine them to
be reasonable.
TPA's
Which of the following are true statements?
D. All of the answers are correct
,EMTALA stands for:
Emergency Medical Treatment and Active Labor Act
Doctor services, outpatient care, and some home health care are services
covered by _______.
B. Medicare Part B
All of the following codes EXCEPT ______ are frequently used when billing a
claim to Medicare on the UB-04.
D. All of the Above
The CMS 838 is:
B. The Medicare quarterly credit balance report
Tricare for Life is:
B. Sometimes the primary payer
If a CT scan is ordered for neck pain for a Medicare beneficiary, but Medicare
may not cover the CT Scan with the diagnosis noted, what form should be
signed by the patient?
A. An ABN
Missing patient information can lead to incorrectly selecting the correct
insurance plan code.
A. True
Disclosures made regarding a patient's protected health information without
their Authorization are considered ______
A. A violation of the privacy rule (HIPPA)
, Physician Office staff should provide hospital schedulers with the following: D.
All of the answers are correct
Which statement below is NOT true?
A. Medicare Part B does not cover self-administered drugs.
The type of bill used to void or cancel a claim is ____
D. xx8
DRG stands for:
Diagnosis Related Group
The automatic assignment of a person to a health insurance plan, typically
under Medicaid plans is known as____
C. Auto-enrollment
In a physician practice revenue cycle structure, point of service consists of:
Coding and Charge Capture
Patient access has a direct impact on several areas of the healthcare provider
organization Including the following:
D. All of the answers are correct
An ABN (Advanced Beneficiary Notice) should be issued to the patient at the
time of:
Pre-Service Review
The medical coding and charging for services may be performed manually in a
Physician practice via a:
A. Superbill