Medical Billing & Coding: Final Exam
Study Guide correctly answered to pass
The largest federal program providing healthcare is __________________ which provides health
insurance for citizens aged 65 and older as well as certain patients under the age of 65. - correct
answer ✔✔Medicare
The ___________________ ______________ is responsible for filing insurance claims in most
medical offices.. - correct answer ✔✔Medical Assistant
Patients are generally asked to sign an _____________ of _____________statement, in which
the provider agrees to prepare healthcare claims for patients, receive payments directly from
the payers, and accept a payer's allowed charge. - correct answer ✔✔Assignment, Benefits
The ______________ may be called the insured, the member, or the subscriber. - correct
answer ✔✔Policyholder
Under an insurance policy, the policyholder pays a __________ or
_________________________ for keeping the insurance policy in force. - correct answer
✔✔Premium, an annual charge
A ___________________ is a fixed dollar amount that must be paid or "met" once a year, in
addition to the premium, before the third-party payer begins to cover medical expenses. -
correct answer ✔✔Deductible
A ____________________ is a small, fixed fee collected at the time of the visit from the patients
who belong to a managed care health plan. - correct answer ✔✔Co-payment
, In a typical medical practice, claims are transmitted within a few business days ____________
the date of service. - correct answer ✔✔After
Insurance claims could be denied as a billing error because if the treatment was not medically
necessary based on the ____________________ and there is no evidence of code linkage. -
correct answer ✔✔Diagnosis code
In the ____________ for ___________ benefits, the claims department compares the fees the
physician has charged with the benefits provided by the patient's health insurance policy to
determine the amount of deductible or coinsurance the patient owes. - correct answer
✔✔Review, Allowable
The total amount the patient owes the practice, including coinsurance, copayment, deductible,
and noncovered services, is known as the patients __________________. - correct answer
✔✔liability
_____________________ insurance covers injuries caused by the insured or that occurred on
the insured's property. - correct answer ✔✔Liability
Although eligibility for Medicare Part B is automatic for people entitled to Medicare Part B
coverage is not ______________________. - correct answer ✔✔Automatic
Medicare Part A is a _______________ benefit for patients who are admitted as inpatients for
up to the 90-day benefit period. - correct answer ✔✔hospital
A Medicare benefit period begins the day a patient is admitted to the hospital and ends when
that patient has not been hospitalized or placed in a skilled nursing facility for a period of
________ continuous days after discharge. - correct answer ✔✔60
Study Guide correctly answered to pass
The largest federal program providing healthcare is __________________ which provides health
insurance for citizens aged 65 and older as well as certain patients under the age of 65. - correct
answer ✔✔Medicare
The ___________________ ______________ is responsible for filing insurance claims in most
medical offices.. - correct answer ✔✔Medical Assistant
Patients are generally asked to sign an _____________ of _____________statement, in which
the provider agrees to prepare healthcare claims for patients, receive payments directly from
the payers, and accept a payer's allowed charge. - correct answer ✔✔Assignment, Benefits
The ______________ may be called the insured, the member, or the subscriber. - correct
answer ✔✔Policyholder
Under an insurance policy, the policyholder pays a __________ or
_________________________ for keeping the insurance policy in force. - correct answer
✔✔Premium, an annual charge
A ___________________ is a fixed dollar amount that must be paid or "met" once a year, in
addition to the premium, before the third-party payer begins to cover medical expenses. -
correct answer ✔✔Deductible
A ____________________ is a small, fixed fee collected at the time of the visit from the patients
who belong to a managed care health plan. - correct answer ✔✔Co-payment
, In a typical medical practice, claims are transmitted within a few business days ____________
the date of service. - correct answer ✔✔After
Insurance claims could be denied as a billing error because if the treatment was not medically
necessary based on the ____________________ and there is no evidence of code linkage. -
correct answer ✔✔Diagnosis code
In the ____________ for ___________ benefits, the claims department compares the fees the
physician has charged with the benefits provided by the patient's health insurance policy to
determine the amount of deductible or coinsurance the patient owes. - correct answer
✔✔Review, Allowable
The total amount the patient owes the practice, including coinsurance, copayment, deductible,
and noncovered services, is known as the patients __________________. - correct answer
✔✔liability
_____________________ insurance covers injuries caused by the insured or that occurred on
the insured's property. - correct answer ✔✔Liability
Although eligibility for Medicare Part B is automatic for people entitled to Medicare Part B
coverage is not ______________________. - correct answer ✔✔Automatic
Medicare Part A is a _______________ benefit for patients who are admitted as inpatients for
up to the 90-day benefit period. - correct answer ✔✔hospital
A Medicare benefit period begins the day a patient is admitted to the hospital and ends when
that patient has not been hospitalized or placed in a skilled nursing facility for a period of
________ continuous days after discharge. - correct answer ✔✔60
