Question 1

A patient's insurance card usually shows

Accepted Answer

A)  the name of the payer's representative. 
B)  the date the policyholder first paid a premium or copayment. 
C)  member identification number. 
D)  the former employer's name. 
A)  the name of the payer's representative. 
B)  the date the policyholder first paid a premium or copayment. 
C)  member identification number. 
D)  the former employer's name.

Question 2

In what format does an encounter form come?

Accepted Answer

A)  PDA only 
B)  paper only 
C)  paper and/or electronic 
D)  electronic only 
A)  PDA only 
B)  paper only 
C)  paper and/or electronic 
D)  electronic only

Question 3

For assigned claims, the payment for services rendered is expected

Accepted Answer

A)  after the patient receives a statement. 
B)  when the claim is sent. 
C)  at the time of service. 
D)  after the insurance is billed. 
A)  after the patient receives a statement. 
B)  when the claim is sent. 
C)  at the time of service. 
D)  after the insurance is billed.

Question 4

Identify the factor that does not determine a patient's copayment.

Accepted Answer

A)  whether the provider is in the patient's network 
B)  the type of service 
C)  the length of time the patient has been seeing the practice 
D)  none of these 
A)  whether the provider is in the patient's network 
B)  the type of service 
C)  the length of time the patient has been seeing the practice 
D)  none of these

Question 5

What does an Acknowledgment of Receipt of Notice of Privacy Practices state?

Accepted Answer

A)  that the patient understands the practice's financial policy 
B)  that the patient understands how the provider intends to protect their rights to privacy under HIPAA 
C)  that medical records cannot be released without consent for any reason 
D)  that the doctor will contact the patient if insurance company wants medical records 
A)  that the patient understands the practice's financial policy 
B)  that the patient understands how the provider intends to protect their rights to privacy under HIPAA 
C)  that medical records cannot be released without consent for any reason 
D)  that the doctor will contact the patient if insurance company wants medical records

Question 6

You are working in a practice and a patient arrives for an appointment on November 20, 2019; the patient last visited the practice on March 5, 2014, and is scheduled to see the same physician. Determine what you should ask the patient to do upon arrival.

Accepted Answer

A)  Review and update the information that is on file about them. 
B)  Complete all required forms before their first encounter with the provider. 
C)  The patient may see the physician without reviewing their information. 
D)  Call insurance company to verify coverage. 
A)  Review and update the information that is on file about them. 
B)  Complete all required forms before their first encounter with the provider. 
C)  The patient may see the physician without reviewing their information. 
D)  Call insurance company to verify coverage.

Question 7

Which HIPAA transaction is used to check patients' insurance coverage?

Accepted Answer

A)  Coordination of Benefits 
B)  Claim Status 
C)  Eligibility for a Health Plan 
D)  Health Care Payment 
A)  Coordination of Benefits 
B)  Claim Status 
C)  Eligibility for a Health Plan 
D)  Health Care Payment

Question 8

Identify the means by which practices can be sure that all visits have been entered in the practice management program.

Accepted Answer

A)  examination 
B)  all of these are correct 
C)  prenumbering 
D)  superbills 
A)  examination 
B)  all of these are correct 
C)  prenumbering 
D)  superbills

Question 9

Another term for insured or subscriber is

Accepted Answer

A)  parent. 
B)  established patient. 
C)  new patient. 
D)  policyholder. 
A)  parent. 
B)  established patient. 
C)  new patient. 
D)  policyholder.

Question 10

Assignment of benefits authorizes

Accepted Answer

A)  the payer to send payments directly to the patient. 
B)  none of these are correct. 
C)  the physician to give patients completed claim forms to send to payers. 
D)  the physician to file claims for a patient and receive direct payments from the payer. 
A)  the payer to send payments directly to the patient. 
B)  none of these are correct. 
C)  the physician to give patients completed claim forms to send to payers. 
D)  the physician to file claims for a patient and receive direct payments from the payer.

Question 11

Another term for prior authorization number is

Accepted Answer

A)  referral waiver. 
B)  supplemental number. 
C)  certification number. 
D)  self-pay. 
A)  referral waiver. 
B)  supplemental number. 
C)  certification number. 
D)  self-pay.

Question 12

Patients who elect to pay a higher copayment, greater coinsurance, or both, are most likely visiting a

Accepted Answer

A)  nonPAR. 
B)  primary care doctor. 
C)  PAR. 
D)  provider in network. 
A)  nonPAR. 
B)  primary care doctor. 
C)  PAR. 
D)  provider in network.

Question 13

What means are available for completing an encounter form?

Accepted Answer

A)  tablets 
B)  paper forms 
C)  laptops 
D)  all of these are correct 
A)  tablets 
B)  paper forms 
C)  laptops 
D)  all of these are correct

Question 14

If an employed patient has coverage under two insurance plans, one the employer's plan and the other a government plan, the primary plan is

Accepted Answer

A)  the government plan. 
B)  the employer's plan. 
C)  the plan with the lowest premium. 
D)  the plan in effect for the patient the longest. 
A)  the government plan. 
B)  the employer's plan. 
C)  the plan with the lowest premium. 
D)  the plan in effect for the patient the longest.

Question 15

Charging TOS payments depends on

Accepted Answer

A)  whether the office allows TOS payments. 
B)  the provision of a patient's health plan and practice's financial policy. 
C)  the practice's financial policy. 
D)  the provisions of a patient's health plan. 
A)  whether the office allows TOS payments. 
B)  the provision of a patient's health plan and practice's financial policy. 
C)  the practice's financial policy. 
D)  the provisions of a patient's health plan.

Question 16

Identify the person/entity that must authorize providers to release a patient's PHI for TPO purposes.

Accepted Answer

A)  the patient 
B)  the physician 
C)  none of these; they do not need authorization 
D)  the health plan 
A)  the patient 
B)  the physician 
C)  none of these; they do not need authorization 
D)  the health plan

Question 17

Financial policies usually contain what information?

Accepted Answer

A)  credit policy, insufficient funds payment policy, and insurance information 
B)  insurance information and insufficient funds payment policy 
C)  credit policy and insurance information 
D)  insufficient funds payment policy and TOS collection 
A)  credit policy, insufficient funds payment policy, and insurance information 
B)  insurance information and insufficient funds payment policy 
C)  credit policy and insurance information 
D)  insufficient funds payment policy and TOS collection

Question 18

What type of number is assigned to a HIPAA 270 electronic transaction?

Accepted Answer

A)  trace number 
B)  identification number 
C)  transaction number 
D)  payer number 
A)  trace number 
B)  identification number 
C)  transaction number 
D)  payer number

Question 19

The initial step in establishing financial responsibility is to

Accepted Answer

A)  complete the patient ledger. 
B)  assign the medical codes. 
C)  Verify the patient's eligibility for insurance benefits. 
D)  issue patient statements. 
A)  complete the patient ledger. 
B)  assign the medical codes. 
C)  Verify the patient's eligibility for insurance benefits. 
D)  issue patient statements.

Question 20

Patients will have the same chart number when

Accepted Answer

A)  they have the same name. 
B)  none of these; chart numbers are unique. 
C)  they share the same guarantor. 
D)  they are minors. 
A)  they have the same name. 
B)  none of these; chart numbers are unique. 
C)  they share the same guarantor. 
D)  they are minors.

A patient's insurance card usually shows

In what format does an encounter form come?

For assigned claims, the payment for services rendered is expected

Identify the factor that does not determine a patient's copayment.

What does an Acknowledgment of Receipt of Notice of Privacy Practices state?

You are working in a practice and a patient arrives for an appointment on November 20, 2019; the patient last visited the practice on March 5, 2014, and is scheduled to see the same physician. Determine what you should ask the patient to do upon arrival.

Which HIPAA transaction is used to check patients' insurance coverage?

Identify the means by which practices can be sure that all visits have been entered in the practice management program.

Another term for insured or subscriber is

Assignment of benefits authorizes

Another term for prior authorization number is

Patients who elect to pay a higher copayment, greater coinsurance, or both, are most likely visiting a

What means are available for completing an encounter form?

If an employed patient has coverage under two insurance plans, one the employer's plan and the other a government plan, the primary plan is

Charging TOS payments depends on

Identify the person/entity that must authorize providers to release a patient's PHI for TPO purposes.

Financial policies usually contain what information?

What type of number is assigned to a HIPAA 270 electronic transaction?

The initial step in establishing financial responsibility is to

Patients will have the same chart number when

Introduction to the Medical Billing Cycle

Electronic Health Records, Hipaa, and Hitech: Sharing and Protecting Patients Health Information

Diagnostic Coding: Introduction to ICD-10-CM

Procedural Coding: CPT and HCPCS

Visit Charges and Compliant Billing

Health Care Claim Preparation and Transmission

Private Payers/BlueCross BlueShield

Medicare

Medicaid

Tricare and Champva

Workers Compensation and Disabilityautomotive Insurance

Payments Ras, Appeals, and Secondary Claims

Patient Billing and Collections

Hospital Billing and Reimbursement

CPT and HCPCS

Filters

Exam 3: Patient Encounters and Billing Information

A patient's insurance card usually shows

In what format does an encounter form come?

For assigned claims, the payment for services rendered is expected

Identify the factor that does not determine a patient's copayment.

What does an Acknowledgment of Receipt of Notice of Privacy Practices state?

You are working in a practice and a patient arrives for an appointment on November 20, 2019; the patient last visited the practice on March 5, 2014, and is scheduled to see the same physician. Determine what you should ask the patient to do upon arrival.

Which HIPAA transaction is used to check patients' insurance coverage?

Identify the means by which practices can be sure that all visits have been entered in the practice management program.

Another term for insured or subscriber is

Assignment of benefits authorizes

Another term for prior authorization number is

Patients who elect to pay a higher copayment, greater coinsurance, or both, are most likely visiting a

What means are available for completing an encounter form?

If an employed patient has coverage under two insurance plans, one the employer's plan and the other a government plan, the primary plan is

Charging TOS payments depends on

Identify the person/entity that must authorize providers to release a patient's PHI for TPO purposes.

Financial policies usually contain what information?

What type of number is assigned to a HIPAA 270 electronic transaction?

The initial step in establishing financial responsibility is to

Patients will have the same chart number when

Introduction to the Medical Billing Cycle

Electronic Health Records, Hipaa, and Hitech: Sharing and Protecting Patients Health Information

Diagnostic Coding: Introduction to ICD-10-CM

Procedural Coding: CPT and HCPCS

Visit Charges and Compliant Billing

Health Care Claim Preparation and Transmission

Private Payers/BlueCross BlueShield

Medicare

Medicaid

Tricare and Champva

Workers Compensation and Disabilityautomotive Insurance

Payments Ras, Appeals, and Secondary Claims

Patient Billing and Collections

Hospital Billing and Reimbursement

CPT and HCPCS

Filters