Question 1

Which method does Medicare use to pay physicians in group practices?

Accepted Answer

A)  Diagnosis-Related Group (DRG) 
B)  Usual, Customary, and Reasonable (UCR) 
C)  Resource-based relative value scale (RBRVS) 
D)  Relative Value Units (RVU) 
A)  Diagnosis-Related Group (DRG) 
B)  Usual, Customary, and Reasonable (UCR) 
C)  Resource-based relative value scale (RBRVS) 
D)  Relative Value Units (RVU)

Question 2

If a patient makes a payment at the time of service, a medical billing program is used to print a(n)

Accepted Answer

A)  invoice 
B)  walkout receipt 
C)  statement 
D)  superbill 
A)  invoice 
B)  walkout receipt 
C)  statement 
D)  superbill

Question 3

The amount of a copayment is determined by

Accepted Answer

A)  the patient 
B)  the amount of the family deductible 
C)  the provider 
D)  the insurance carrier/health plan 
A)  the patient 
B)  the amount of the family deductible 
C)  the provider 
D)  the insurance carrier/health plan

Question 4

Collecting the difference between a provider's usual fee and a payer's lower allowed charge from the insured is called

Accepted Answer

A)  claims processing 
B)  balance billing 
C)  collections 
D)  payment billing 
A)  claims processing 
B)  balance billing 
C)  collections 
D)  payment billing

Question 5

What is not a part of the real-time claims adjudication (RTCA)?

Accepted Answer

A)  create the claim 
B)  note errors on the claim 
C)  receive real-time payment 
D)  receive real-time responses from payer 
A)  create the claim 
B)  note errors on the claim 
C)  receive real-time payment 
D)  receive real-time responses from payer

Question 6

Under what condition of HIPAA is it permissible to bill a patient a reasonable charge?

Accepted Answer

A)  it is not permissible to bill a patient under HIPAA 
B)  missed appointments 
C)  late fees 
D)  copies of medical records 
A)  it is not permissible to bill a patient under HIPAA 
B)  missed appointments 
C)  late fees 
D)  copies of medical records

Which method does Medicare use to pay physicians in group practices?

If a patient makes a payment at the time of service, a medical billing program is used to print a(n)

The amount of a copayment is determined by

Collecting the difference between a provider's usual fee and a payer's lower allowed charge from the insured is called

What is not a part of the real-time claims adjudication (RTCA)?

Under what condition of HIPAA is it permissible to bill a patient a reasonable charge?

From Patient to Payment Understanding Medical Insurance

Electronic Health Records, HIPAA, and Hitech: Sharing and Protectin

Patient Encounters and Billing Information

Diagnostic Coding

Procedural Coding

Health Care Claim Preparation and Transmission

Private Payersblue Cross and Blue Shield

Medicare

Medicaid

Tricare and Champva

Workers Compensation and Automobiledisability Insurance

Claim Processing, Payments, and Collections

Hospital Insurance

Filters

Exam 6: Payment Methods and Checkout Procedures

Which method does Medicare use to pay physicians in group practices?

If a patient makes a payment at the time of service, a medical billing program is used to print a(n)

The amount of a copayment is determined by

Collecting the difference between a provider's usual fee and a payer's lower allowed charge from the insured is called

What is not a part of the real-time claims adjudication (RTCA)?

Under what condition of HIPAA is it permissible to bill a patient a reasonable charge?

From Patient to Payment Understanding Medical Insurance

Electronic Health Records, HIPAA, and Hitech: Sharing and Protectin

Patient Encounters and Billing Information

Diagnostic Coding

Procedural Coding

Health Care Claim Preparation and Transmission

Private Payersblue Cross and Blue Shield

Medicare

Medicaid

Tricare and Champva

Workers Compensation and Automobiledisability Insurance

Claim Processing, Payments, and Collections

Hospital Insurance

Filters