New York Medical Training
Medical Billing and Coding Final
Student Name: Yaniece Findlay
1.Tricare is insurance for:
a. Active-duty military and their families
b. Surviving spouses of military service
2. Medicaid is administered by:
a. state governments
b. federal government
c. private companies
d. nonprofit organizations
3. Which of the following is not a private insurance carrier?
a. Cigna
b. Aetna
c. United Healthcare
d. CMS
4. 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?
a. Medicaid
b. Anthem
c. Worker's compensation
5.The time allowed to submit a claim to Medicare is:
a. 365 days
b. 90 days
c. 180 days
, d. 120 days
6. 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 a(n)_______________.
A. Preferred provider
B. Health maintenance organization
C. Member physician
D. Private health provider
7. The amount a provider charges the insurance company for
services:
a. Varies depending on how much the insurance reimburses for that
procedure
b. Must be a set amount per procedure for all insurance carriers
c. Must be a set amount for each particular insurance carrier
8. According to CMS, which form must be obtained and signed for
Medicare beneficiaries receiving non-covered services before those
services are rendered?
a. CMS-1500
b. ABB
c. NBN
d. ABN
9. Marge has Medicaid and goes to see the chiropractor once a
week. The chiropractor takes Medicaid but informs Marge that she
has a $25 copay for each visit. Marge's insurance card lists no copay.
When questioned, the billing office tells Marge that her insurance
only reimburses $17 per chiropractic visit and it would cost them
more to bill her insurance than it would just to have her pay--and it's
only $25. According to Medicaid regulations:
Medical Billing and Coding Final
Student Name: Yaniece Findlay
1.Tricare is insurance for:
a. Active-duty military and their families
b. Surviving spouses of military service
2. Medicaid is administered by:
a. state governments
b. federal government
c. private companies
d. nonprofit organizations
3. Which of the following is not a private insurance carrier?
a. Cigna
b. Aetna
c. United Healthcare
d. CMS
4. 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?
a. Medicaid
b. Anthem
c. Worker's compensation
5.The time allowed to submit a claim to Medicare is:
a. 365 days
b. 90 days
c. 180 days
, d. 120 days
6. 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 a(n)_______________.
A. Preferred provider
B. Health maintenance organization
C. Member physician
D. Private health provider
7. The amount a provider charges the insurance company for
services:
a. Varies depending on how much the insurance reimburses for that
procedure
b. Must be a set amount per procedure for all insurance carriers
c. Must be a set amount for each particular insurance carrier
8. According to CMS, which form must be obtained and signed for
Medicare beneficiaries receiving non-covered services before those
services are rendered?
a. CMS-1500
b. ABB
c. NBN
d. ABN
9. Marge has Medicaid and goes to see the chiropractor once a
week. The chiropractor takes Medicaid but informs Marge that she
has a $25 copay for each visit. Marge's insurance card lists no copay.
When questioned, the billing office tells Marge that her insurance
only reimburses $17 per chiropractic visit and it would cost them
more to bill her insurance than it would just to have her pay--and it's
only $25. According to Medicaid regulations:
