MA 213 final review

Part __ of Medicare was created to provide coverage for both generic and brand name drugs.

If the petty cash fund was originally $50, & it has been depleted down to $3, a new petty cash check should be written:

Ambulatory payment classifications (APCs) are:

Which level of the (HCPCS) includes codes that identify products, supplies, and services not included in CPT?

Which of the following statements is NOT true when making a collection call?

Which of the following are considered third-party (insurance) plans?

The primary insurance information will be placed in __ of the CMS-1500 form for secondary billing.

The patient's appreciation for the services received is highest:

Under workers' compensation, a patient who has an industrial injury is billed:

Manual claims tracking:

Which of the following statements is true regarding HCPCS Level II codes?

The AMA defines medical necessity as services or procedures that a prudent physician would provide to a patient in order

Information required to post on the patient account includes all of the following except:

An outsourced billing service does NOT ___ statements.

Claim form errors are identified by the third party payers the claim is then rejected. The following is NOT an error?

Which form is also known as the UB-04 form?

When coding procedures & diagnoses, you isolate the main term from the providers stmt assessment or desc. for service

ICD codes are descriptive of the:

An adjustment code would be used for which of the following?

Credit transactions over $25,000 are exempt from the TILA unless:

A private/public co. that often serves as the middleman b/tween providers & billing groups, payers, & other health..

It is typically the responsibility of the __ to produce the values used in cost-benefit analysis.

When following up on a delinquent claim, if the carrier tells you that it is still in process, you should:

The best collection opportunity after face to face contact is by:

The computer generated stmt is considered to be an efficient collection method. The stmt will show the portion due is:

The first step in the collections process is to:

The date by which payment should be made is called the:

Medicare pays __ of the approved medical amount once the deductible is satisfied.

If a statute of limitations is 2 years, & the last date on the patient account was September 2016, it could be collected

Information required to file a third-party claim on the CMS-1500 form includes all but:

Since 2005, providers have been urged to:

Upcoding can result in:

When applying an insurance adjustment to a patient's account, you are NOT typically required to post the:

Part __ of Medicare is for payment of medical expenses such as office visits and xray and lab services.

Which type of insurance does not require a referral for patient care and specialists?

The main rule to remember of the ICD coding rules, which says that the reason for the patient visit is coded first is :

Truth in Lending Act explains who and what is covered by regulation & gives specific disclosure & other requirements..

When patients without health insurance are seen in the medical practice, they are classified as ___ patients.

The account statement does NOT typically include which type of information?

Health ins. offered by private companies to persons eligible for medicare benefits & specifically to supp benefits is:

Where do aging dates usually appear on a patient statement?

The __ formula demonstrates a cost of a specific procedure or service.

The easiest & fastest method of searching for an account in practice management (PM) software is a(n) __ search.

When processing a credit balance, if a refund is due to a patient, you must:

The Fair Debt Collection Practices Act (FDCPA) does NOT cover which type of debts?

There are a number of exceptions to the usual billing &collection procedures. Which of the following is NOT considered .

The phrase ___ was coined to indicate payment of services rendered by someone other than the patient.

Under the birthday rule, if the parents' divorce & retain their plans, the parent with __ is primary.

Services performed in the office are generally marked on a patent's encounter form by the:

The traditional type of ins. that once covered the cost of medical care .. seek care from any provider & not worry about

Accounts are considered current if within __ days of the billing date.

How many digits are in a National Provider Identifier (NPI) number?

Blue Cross was originally set up to pay for:

Money due to the practice is known as:

Which of the following statements is NOT true when using HCPCS level II codes?

Physicians who treat patients under workers' comp. plans are usually required to register w state workers comp board:

Because a primary care physician (PCP) in an HMO makes referrals & approves additional care if needed, he/she is known

It is recommended that you use which of the following words when composing collection letters?

Medicare will __ pay for services or supplies considered medically reasonable & necessary for the diagnosis given

The study and analysis of financial data as it applies to operational issues w/in a company is called __ accounting.

The only practitioners that can currently bill Medicare w the hard copy CMS-1500s are businesses with:

Where in the CPT manual would you find information about modifiers?

When a patient health ins plan supports the ability to check electronically the amount of copay a patient will be resp..

When it is necessary to collect a bill owed by a deceased patient, the stmt is sent to the estate of the deceased ...

A signed disclosure of finance charges form must be kept on file for:

If you make collection calls before or after the legal hours in your state, you can be liable for:

Which of the following is NOT a common claim error?

How often should you run the report that reflects accounts with delinquent balances?

Electronically processing claim forms to insurance carriers:

HCPCS Level I codes are known as: