Question 1

What type of information is not found on an insurance card?

Accepted Answer

A)  member name 
B)  member identification number 
C)  group identification number 
D)  the date the policyholder first paid a premium 
A)  member name 
B)  member identification number 
C)  group identification number 
D)  the date the policyholder first paid a premium

Question 2

A patient has just seen the physician and received two different covered services that normally require copayments. Determine how the payment should be handled.

Accepted Answer

A)  If the health plan permits multiple copayments, one is collected at the time of service, and the other is collected the next time the patient visits the practice for an encounter. 
B)  If the health plan permits multiple copayments, both should be collected. 
C)  More than one copayment can never be collected; the patient need only pay one. 
D)  None of these are correct. 
A)  If the health plan permits multiple copayments, one is collected at the time of service, and the other is collected the next time the patient visits the practice for an encounter. 
B)  If the health plan permits multiple copayments, both should be collected. 
C)  More than one copayment can never be collected; the patient need only pay one. 
D)  None of these are correct.

Question 3

What does a provider complete during or just after a patient's visit to summarize their billing information?

Accepted Answer

A)  progress report 
B)  information sheet 
C)  encounter form 
D)  referral 
A)  progress report 
B)  information sheet 
C)  encounter form 
D)  referral

Question 4

Which HIPAA transaction is used to send information from a primary payer to a secondary payer?

Accepted Answer

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

Question 5

Pick the type of use of PHI that a practice would employ to submit claims on behalf of a patient.

Accepted Answer

A)  payment 
B)  treatment 
C)  health care operations 
D)  patient information form 
A)  payment 
B)  treatment 
C)  health care operations 
D)  patient information form

Question 6

If a patient authorizes a provider to accept assignment, what can the provider now do on their behalf?

Accepted Answer

A)  File claims for the patient and receive payments directly from the payer. 
B)  Provide treatment for a self-pay patient only. 
C)  Receive payments directly from the payer only. 
D)  Receive payments directly from the payer and provide treatment for a self-pay patient. 
A)  File claims for the patient and receive payments directly from the payer. 
B)  Provide treatment for a self-pay patient only. 
C)  Receive payments directly from the payer only. 
D)  Receive payments directly from the payer and provide treatment for a self-pay patient.

Question 7

Determine how a policyholder can authorize physicians to submit claims on their behalf and receive payments directly from payers.

Accepted Answer

A)  providing a copy of their insurance card 
B)  signing and dating an assignment of benefits statement 
C)  completing the patient information form 
D)  providing a copy of their driver's license 
A)  providing a copy of their insurance card 
B)  signing and dating an assignment of benefits statement 
C)  completing the patient information form 
D)  providing a copy of their driver's license

Question 8

What process is used to quickly generate the amount a patient owes?

Accepted Answer

A)  real-time adjudication 
B)  estimating what a patient owes 
C)  making financial arrangements 
D)  both real-time adjudication and making financial arrangements 
A)  real-time adjudication 
B)  estimating what a patient owes 
C)  making financial arrangements 
D)  both real-time adjudication and making financial arrangements

Question 9

In recording a patient's name when sending it to a payer, what version of their name should be used?

Accepted Answer

A)  the name or nickname that they go by 
B)  their name as it is shown on the assignment of benefits form 
C)  their name as it appears on the patient information form 
D)  their name as it is shown on the insurance card 
A)  the name or nickname that they go by 
B)  their name as it is shown on the assignment of benefits form 
C)  their name as it appears on the patient information form 
D)  their name as it is shown on the insurance card

Question 10

Where is an assignment of benefits statement filed?

Accepted Answer

A)  patient medical records and patient billing records 
B)  patient billing records only 
C)  patient medical records only 
D)  sent to the insurance company 
A)  patient medical records and patient billing records 
B)  patient billing records only 
C)  patient medical records only 
D)  sent to the insurance company

What type of information is not found on an insurance card?

A patient has just seen the physician and received two different covered services that normally require copayments. Determine how the payment should be handled.

What does a provider complete during or just after a patient's visit to summarize their billing information?

Which HIPAA transaction is used to send information from a primary payer to a secondary payer?

Pick the type of use of PHI that a practice would employ to submit claims on behalf of a patient.

If a patient authorizes a provider to accept assignment, what can the provider now do on their behalf?

Determine how a policyholder can authorize physicians to submit claims on their behalf and receive payments directly from payers.

What process is used to quickly generate the amount a patient owes?

In recording a patient's name when sending it to a payer, what version of their name should be used?

Where is an assignment of benefits statement filed?

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

What type of information is not found on an insurance card?

A patient has just seen the physician and received two different covered services that normally require copayments. Determine how the payment should be handled.

What does a provider complete during or just after a patient's visit to summarize their billing information?

Which HIPAA transaction is used to send information from a primary payer to a secondary payer?

Pick the type of use of PHI that a practice would employ to submit claims on behalf of a patient.

If a patient authorizes a provider to accept assignment, what can the provider now do on their behalf?

Determine how a policyholder can authorize physicians to submit claims on their behalf and receive payments directly from payers.

What process is used to quickly generate the amount a patient owes?

In recording a patient's name when sending it to a payer, what version of their name should be used?

Where is an assignment of benefits statement filed?

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