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MBG101 review Flashcards | StudBud
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MBG101 review
MBG101 review
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Flashcards
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Questions
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Answers
1
Medicare paients can only be billed when their claims deny if there is a signed ABN on file.
False
True
2
The ICD-10-CM book as _____ chapters.
21
20
10
6
3
When was ICD-10 first published?
1992
1990
2007
2015
4
The Medicare EOB is now called the
remittance advice
Medicare Summary Notice
EOMB
the EOB
5
The HCPCS book has codes for _____.
Procedures.
Diagnoses.
DME and medications.
Office visits.
6
A fee schedule
is the aging report.
is another name for the patient's statement.
is the checkbook register.
Is how the insurance bases their payment for procedures.
7
What is CPT?
Current Procedural Terminology
Correct Procedural Technology
Correspondence Procedural Terminology
Correct Protocol Terms
8
The _____ is a 10 digit number that follows the provider for life.
taxonomy code
UPIN
NPI
Tax identification number
9
The most important part of a practice management system is the
Accounts Receivable.
the patient portal.
checkbook register.
the schedule.
10
What is an HMO?
Historical Maintenance Operation
Health Maintenance Organization
Health Management Organization
Health Management Operation
11
What is HCPCS?
Health Codes Pharmacy Codes and Services
Healthcare Common Procedural Coding System
Healthcare Correct Procedure Coding Service
Health Codes Procedure Correction System
12
An insurance uses an ____ to directly deposit money into the provider's account.
a paper check.
ACH.
EFT.
credit card payment.
13
Critical care can be rendered to a patient
Only in the ICU.
In areas other than the ICU if it may be life-threatening.
Only in the office setting.
Only in the emergency room.
14
A signature stamp is not acceptable on paper claims.
True
False
15
The ____ is the main reason for the visit.
referring doctor's order
signs/symptoms
objective opinion
chief complaint
16
What is NEC?
National Electrical Code
Non Exceptional Code
Not Otherwise Specified
Not Elsewhere Classified
17
What is an ABN?
American Business Number
Alabama Board of Nursing
Additional Benefit Notification
Advanced Beneficiary Notice
18
What is ICD-10?
Information for Correct Diagnoses
Internet Coding of Disease
International Coding of Diagnoses
International Classification of Disease
19
A request for a claim review after the claim has been denied is known as
an inquiry.
a tracer.
an appeal.
a demand for payment.
20
Texas is part of Medicare Jurisdiction
G
E
F
H
21
A provider can bill Medicare with a paper claim if he has fewer than ___ full time employees.
20
50
10
5
22
What is a PPO?
Precise Privacy Operations
Preferred Provider Operations
Planned Practice Operations
Preferred Provider Organization
23
what is HIPAA?
Privacy Law
Security Law for PHI
Health Information Portability & Accountability Act
Health Insurance Portability and Accountability Act
24
What is POS?
Path of Service
Point of Service
Place of Service
Part of Service
25
The account receivable report that shows outstanding balances is known as
the index.
the aging.
the check register.
the patient roster.
26
What is EDI?
Emergency Data Information
Electronic Digital Imaging
Emergency Data Institute
Electronic Data Interchange
27
Office place of service
TC
25
11
26
28
A provider can release medical records
Whenever he wants to.
Never.
To the family, even without consent.
for treatment, payment, or operations (TPO).
29
An ICD-10 code for a "history of disease" would start with the letter
A
E
Z
S
30
EDI submits claims ______.
On paper
via fax
via email
Electronically
31
Modifier for professional services only
25
26
TC
51
32
What is NPI?
Normal Procedural Investigation
National Provider Identifier
Notice of Privacy Information
Not Particularly Identifiable
33
What is NOS?
Not Elsewhere Classified
Nitrus Oxide Systems
Not Otherwise Specified
Northern Operational Systems
34
Laterality
refers to the side of the body being treated.
is a modifier.
is a person's first name.
is a surgery.
35
What is CMS?
Center for Medicare and Medicaid Services
Center for Medicaid and Medicare Services
Correct Management System
Center for Management Services
36
The visits before & after surgery, the surgery, the supplies, and follow up for up to 90 days
should be unbundled and billed separately.
is the surgical package.
is billed by many different providers.
is the global period.
37
Modifier for reduced services is
25
11
52
51
38
What is an EOB?
Explanation owed to Beneficiary
Expert on Benefits
Explanation of Benefits
Everyday Operational Book
39
Modifier for an office add on
51
52
25
TC
40
What is E/M?
Extra Maintenance
Evaluation and Management
Everyday Management
Evaluation and Maintenance
41
The time limit for filing insurance claims to a commercial carrier range from
10 days to 1 year from the date of service.
30 days to 1 year from the date of service
60 days to 18 months from the date of service.
There is no timely filing limit.
42
The paper claim form currently in use is the
CMS-1500 (08-05)
ABN
CMS-1500 (02-12)
UB-04
43
Modifier for multiple procedures
51
11
52
25
44
An independent organization that receives claims and disburses them to insurance companies is a
an mass email.
a blog.
the software vendor.
clearinghouse.
45
A new patient is one who hasn't been seen by anyone in the practice for _____ years.
3
5
1
7
46
The 6 sections of the CPT book are: E/M, Anesthesia, Surgery, Radiology, Path/Lab, and _____.
Medications
DME
Diagnostic Ultrasound
Medicine
47
When 2 diagnoses are classified with a single code, that code is referred to as a
An accident code
All codes need to be listed separately.
A combination code
Z code
48
What is PHI?
Preferred Health Insurance
Personal History Information
Protected Health information
49
What is DME?
Durable Medical Energy
Drug and Medicine Explanations
Duration of Medical Experiment
Durable Medical Equipment
50
A person can remain on their parent's insurance until they are ____ years old.
24
19
26
21
51
an EMR system
is an electronic way to manage the billing for the practice.
is for large hospital practices.
an electronic way to store medical records.
Is a computer program to write checks for the business
52
Under HIPAA privacy regulations, patients have the right to their psychotherapy notes.
False
True
53
The current CMS-1500 form has space for _____ diagnosis codes.
16
4
8
12
