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Medical Billing Fundamentals Test (Upwork)
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Medical Billing Fundamentals Test (Upwork)
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25 Questions

1. In medical billing
2. The average amount Medicare will pay a provider or hospital for a procedure is the:
3. Medicare Advantages Plans cover consultation codes?
4. What organ is measured in an EKG/ECG?
5. What do the CPT codes refer to?
6. Health Insurance Claim (HICN) is a number assigned by the Social Security Administration to an individual identifying him/her as a _______ beneficiary
7. In which month do commercial insurance and Medicare deductibles start each year?
8. What is a premium?
9. True or False? Tertiary insurance is intended to cover gaps in coverage the primary and secondary insurance may not cover.
10. True or False? ERISA includes PPOs
11. ________ billing is when a patient is charged for the difference between what a doctor bills and what the provider and insurance company agree upon.
12. The federal law that allows a worker to continue to purchase employer paid health insurance for up to 18 months if they lose their job or your coverage is otherwise terminated is known as:
13. According to the MBAA
14. With the implementation of HIPAA
15. True or false? The coder should NOT correct any errors in a bill.
16. If a provider is non-par
17. Which one of the following is the largest Blue Cross Blue Shield member?
18. Which federal law strengthens the privacy of a patient's PHI and allows a patient to review their medical record?
19. Who is eligible for Medicare part C
20. In DME claims which of the following is necessary: Referring physician or Ordering physician?
21. Health insurance coverage which is contracted to supplement Medicare coverage is called:
22. A Remittance Advice statement is most similar to a(n):
23. Which one of the following was known as Medicare + Choice?
24. Which of these would be a valid reasons for a claim to be denied?
25. This health insurance coverage is available to an individual and their dependents after becoming unemployed - either due to voluntary or involuntary termination of employment for reasons other than gross misconduct.

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