Medical Billing Final Exam - Multiple Choice with all
Correct & 100% Verified Answers |Already Graded A+
The office of civil rights enforces rules of privacy and security. ✔Correct Answer-Privacy and
Security Rules
Fraud is unbundling or exploding of charges. ✔Correct Answer-Fraud
In cases of divorce, the decision as to responsibility for a child's medical costs should be made by the
court. ✔Correct Answer-In cases of divorce
An attachment to an insurance policy that excludes certain illnesses that would otherwise be covered
is called a waiver. ✔Correct Answer-Waiver
Why would conversion from a group policy to an individual policy be advantageous? ✔Correct
Answer-Because no physician examination is required
A type of managed care plan created by the Tax Equity and Fiscal Responsibility Act (TEFRA) that
allows for enrollment of Medicare beneficiaries into managed care plans is a competitive medical
plan. ✔Correct Answer-Competitive Medical Plan
When the physician's services have been submitted to the patient's insurance company by the
physician's office, the patient should be sent a monthly statement indicating that the insurance
company has been billed. ✔Correct Answer-Monthly statement indicating that the Patient's
insurance company has been billed.
An advantage of electronic medical records is greater standardization in clinical medical terminology.
✔Correct Answer-Greater standardization in clinical medical terminology
Under the Medicare incentive program for implementation of the electronic health record, eligible
providers will be penalized through payment adjustments starting in 2015 if they have not
demonstrated meaningful use. ✔Correct Answer-Penalized through payment adjustments starting
in 2015
a) defense of a professional liability claim,
b) insurance carriers require accurate documentation.
both answers are correct ✔Correct Answer-The reasons for documentation are:
Levels of Evaluation & Management services are based on types of physical examinations that may
be problem-focused. ✔Correct Answer-Problem-focused
A co-morbidity is an underlying disease or condition present at the time of the visit. ✔Correct
Answer-Co-morbidity
Your physician has been to the hospital providing constant bedside attention and treating a patient in
respiratory failure. These services are considered critical care. ✔Correct Answer-Critical Care
In the ICD-10 Clinical Modification, a code with a 9 as the fourth digit or a 10 as the fifth digit means
that the information in the health record is unspecified. ✔Correct Answer-Unspecified
, The ICD-10 code Z79.4 refers to a patient who routinely takes insulin. ✔Correct Answer-ICD-10
code Z79.4
What table contains classifications of substances for identifying poisoning states? The Table of Drugs
and Chemicals. ✔Correct Answer-The Table of Drugs and Chemicals.
What book is used in a physician's office for coding medical procedures? CPT ✔Correct Answer-CPT
or Current Procedural Terminology
The CPT is updated and revised every year. ✔Correct Answer-Every year
When a service rendered is not listed in the CPT, use an "unlisted" code for your procedure.
✔Correct Answer-Unlisted Code
Bundling is the grouping together of codes related to a specific procedure. ✔Correct Answer-What
does "bundling" mean?
When completing a form, if any question is unanswerable, leave the space blank. ✔Correct
Answer-When a question is unanswerable
The NPI is a 10-digit identification number that replaces all numbers assigned by health plans
✔Correct Answer-National Provider Identifier (NPI)
A clearinghouse receives transmission of insurance claims, separates claims and sends them
electronically to the correct insurance payer. ✔Correct Answer-Clearinghouse
The IRS assigns the employers identification number. ✔Correct Answer-Employers Identification
Number (EIN)
The HIPAA security rule addresses security of electronic patient health information in which of the
following areas: 1) Administrative safeguards, 2) Technical safeguards, 3) Physical safeguards, 4) All of
the Above ✔Correct Answer-All of the Above
How often should you post payments in the practice management system? ✔Correct Answer-Daily
How often should you batch scrub, edit and transmit claims? ✔Correct Answer-Daily or Weekly
How often should you audit claims batched and transmitted with confirmation reports? ✔Correct
Answer-Daily
How often should you make follow up calls to resolve reasons for rejection? ✔Correct Answer-
Weekly
How often should you correct rejections and resubmit claims? ✔Correct Answer-Daily
The document, together with the payment voucher, that is sent to a physician who has accepted
assignment of benefits is called the explanation of benefits (EOB). ✔Correct Answer-Explanation of
Benefits (EOB)
Correct & 100% Verified Answers |Already Graded A+
The office of civil rights enforces rules of privacy and security. ✔Correct Answer-Privacy and
Security Rules
Fraud is unbundling or exploding of charges. ✔Correct Answer-Fraud
In cases of divorce, the decision as to responsibility for a child's medical costs should be made by the
court. ✔Correct Answer-In cases of divorce
An attachment to an insurance policy that excludes certain illnesses that would otherwise be covered
is called a waiver. ✔Correct Answer-Waiver
Why would conversion from a group policy to an individual policy be advantageous? ✔Correct
Answer-Because no physician examination is required
A type of managed care plan created by the Tax Equity and Fiscal Responsibility Act (TEFRA) that
allows for enrollment of Medicare beneficiaries into managed care plans is a competitive medical
plan. ✔Correct Answer-Competitive Medical Plan
When the physician's services have been submitted to the patient's insurance company by the
physician's office, the patient should be sent a monthly statement indicating that the insurance
company has been billed. ✔Correct Answer-Monthly statement indicating that the Patient's
insurance company has been billed.
An advantage of electronic medical records is greater standardization in clinical medical terminology.
✔Correct Answer-Greater standardization in clinical medical terminology
Under the Medicare incentive program for implementation of the electronic health record, eligible
providers will be penalized through payment adjustments starting in 2015 if they have not
demonstrated meaningful use. ✔Correct Answer-Penalized through payment adjustments starting
in 2015
a) defense of a professional liability claim,
b) insurance carriers require accurate documentation.
both answers are correct ✔Correct Answer-The reasons for documentation are:
Levels of Evaluation & Management services are based on types of physical examinations that may
be problem-focused. ✔Correct Answer-Problem-focused
A co-morbidity is an underlying disease or condition present at the time of the visit. ✔Correct
Answer-Co-morbidity
Your physician has been to the hospital providing constant bedside attention and treating a patient in
respiratory failure. These services are considered critical care. ✔Correct Answer-Critical Care
In the ICD-10 Clinical Modification, a code with a 9 as the fourth digit or a 10 as the fifth digit means
that the information in the health record is unspecified. ✔Correct Answer-Unspecified
, The ICD-10 code Z79.4 refers to a patient who routinely takes insulin. ✔Correct Answer-ICD-10
code Z79.4
What table contains classifications of substances for identifying poisoning states? The Table of Drugs
and Chemicals. ✔Correct Answer-The Table of Drugs and Chemicals.
What book is used in a physician's office for coding medical procedures? CPT ✔Correct Answer-CPT
or Current Procedural Terminology
The CPT is updated and revised every year. ✔Correct Answer-Every year
When a service rendered is not listed in the CPT, use an "unlisted" code for your procedure.
✔Correct Answer-Unlisted Code
Bundling is the grouping together of codes related to a specific procedure. ✔Correct Answer-What
does "bundling" mean?
When completing a form, if any question is unanswerable, leave the space blank. ✔Correct
Answer-When a question is unanswerable
The NPI is a 10-digit identification number that replaces all numbers assigned by health plans
✔Correct Answer-National Provider Identifier (NPI)
A clearinghouse receives transmission of insurance claims, separates claims and sends them
electronically to the correct insurance payer. ✔Correct Answer-Clearinghouse
The IRS assigns the employers identification number. ✔Correct Answer-Employers Identification
Number (EIN)
The HIPAA security rule addresses security of electronic patient health information in which of the
following areas: 1) Administrative safeguards, 2) Technical safeguards, 3) Physical safeguards, 4) All of
the Above ✔Correct Answer-All of the Above
How often should you post payments in the practice management system? ✔Correct Answer-Daily
How often should you batch scrub, edit and transmit claims? ✔Correct Answer-Daily or Weekly
How often should you audit claims batched and transmitted with confirmation reports? ✔Correct
Answer-Daily
How often should you make follow up calls to resolve reasons for rejection? ✔Correct Answer-
Weekly
How often should you correct rejections and resubmit claims? ✔Correct Answer-Daily
The document, together with the payment voucher, that is sent to a physician who has accepted
assignment of benefits is called the explanation of benefits (EOB). ✔Correct Answer-Explanation of
Benefits (EOB)
