Meditech Test Questions with Correct Verified Detailed
Answers – Latest Update with Complete Solutions
Introduction:
This document provides a comprehensive collection of Meditech test
questions and correct answers, covering essential topics related to
medical billing, insurance processes, and hospital registration
procedures. It includes updated information on Medicare, Medicaid,
HIPAA, EMTALA, and managed care systems. The content is
structured in a Q&A format for easy studying and quick reference,
making it ideal for exam preparation or professional certification
review.
Exam Questions and Answers
b --- correct answer ---precertification
a. an approval from a patient's PCP for treatment by another
physician
b. process of obtaining approval from and insurance company
c. process by which an individual provider is approved to
administer specified procedures
d --- correct answer ---PCP
,a. responsible for managing the referral process for patients
b. responsible for admitting patients to a facility
c. primary care physician
d. both a & c
a --- correct answer ---what is the birthday rule?
a. when a minor is covered under both parents, the insurance held
by parent whose birthday month falls earliest in the year is primary
b. when a minor is covered under both parents, the insurance held
by parent whose birthday year falls first is primary
c. when a minor is covered under both parents, the insurance held
by parent whose birthday month falls later in the year is primary
c --- correct answer ---what does the person suffix before a name
represent?
a. a code used by patient accounting to record allowances and
adjustments
b. numeric or alpha-numeric code assigned to a payer to aid in
routing electronic claims
c. a code which helps the insurance company identify each member
under the plan
,b --- correct answer ---deductible
a. a fixed dollar amount due at the time of service
b. an annual fixed amount which just be met before insurance
benefits will be paid
c. out-of-pcoket expense owed after the deductible is met
a --- correct answer ---co-pay
a. a fixed dollar amount due at the time of service
b. an annual fixed amount which just be met before insurance
benefits will be paid
c. out-of-pcoket expense owed after the deductible is met
c --- correct answer ---co-insurance
a. a fixed dollar amount due at the time of service
b. an annual fixed amount which just be met before insurance
benefits will be paid
c. out-of-pcoket expense owed after the deductible is met
, a --- correct answer ---contractual adjustment/allowance
a.discount amount that a carrier will adjust off the total claim due
to an agreement with the provider
b. maximum amount the insurer will pay the provider
c. total charges billed by health care provider
b --- correct answer ---patient comes in for elective cosmetic
surgery, what I-plan(s) do you use?
a. uninsured
b. flat rate
c. charity approved
a --- correct answer ---patient has orders for an MRI, has no
insurance and is unable to pay, what I-plan(s) do you use?
a. medicaid pending, charity pending, and unisured
b. charity pending only
c. uninsured only
b --- correct answer ---who is responsible for reporting an on-the-
job injury?
Answers – Latest Update with Complete Solutions
Introduction:
This document provides a comprehensive collection of Meditech test
questions and correct answers, covering essential topics related to
medical billing, insurance processes, and hospital registration
procedures. It includes updated information on Medicare, Medicaid,
HIPAA, EMTALA, and managed care systems. The content is
structured in a Q&A format for easy studying and quick reference,
making it ideal for exam preparation or professional certification
review.
Exam Questions and Answers
b --- correct answer ---precertification
a. an approval from a patient's PCP for treatment by another
physician
b. process of obtaining approval from and insurance company
c. process by which an individual provider is approved to
administer specified procedures
d --- correct answer ---PCP
,a. responsible for managing the referral process for patients
b. responsible for admitting patients to a facility
c. primary care physician
d. both a & c
a --- correct answer ---what is the birthday rule?
a. when a minor is covered under both parents, the insurance held
by parent whose birthday month falls earliest in the year is primary
b. when a minor is covered under both parents, the insurance held
by parent whose birthday year falls first is primary
c. when a minor is covered under both parents, the insurance held
by parent whose birthday month falls later in the year is primary
c --- correct answer ---what does the person suffix before a name
represent?
a. a code used by patient accounting to record allowances and
adjustments
b. numeric or alpha-numeric code assigned to a payer to aid in
routing electronic claims
c. a code which helps the insurance company identify each member
under the plan
,b --- correct answer ---deductible
a. a fixed dollar amount due at the time of service
b. an annual fixed amount which just be met before insurance
benefits will be paid
c. out-of-pcoket expense owed after the deductible is met
a --- correct answer ---co-pay
a. a fixed dollar amount due at the time of service
b. an annual fixed amount which just be met before insurance
benefits will be paid
c. out-of-pcoket expense owed after the deductible is met
c --- correct answer ---co-insurance
a. a fixed dollar amount due at the time of service
b. an annual fixed amount which just be met before insurance
benefits will be paid
c. out-of-pcoket expense owed after the deductible is met
, a --- correct answer ---contractual adjustment/allowance
a.discount amount that a carrier will adjust off the total claim due
to an agreement with the provider
b. maximum amount the insurer will pay the provider
c. total charges billed by health care provider
b --- correct answer ---patient comes in for elective cosmetic
surgery, what I-plan(s) do you use?
a. uninsured
b. flat rate
c. charity approved
a --- correct answer ---patient has orders for an MRI, has no
insurance and is unable to pay, what I-plan(s) do you use?
a. medicaid pending, charity pending, and unisured
b. charity pending only
c. uninsured only
b --- correct answer ---who is responsible for reporting an on-the-
job injury?
