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Medical Billing Fundamentals Test 2 (Upwork)
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Medical Billing Fundamentals Test 2 (Upwork)
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25 Questions

1. What are modifiers?
2. Which of the following is the first phase of the insurance claim life cycle?
3. Electronic Medical Claims (EMC) help to ___________.
4. Who among the following can also be a guarantor?
5. _____is an agreement made between the insurance company and the insured to send payments directly to the physician.
6. Why was HIPAA enacted into a law?
7. Identify the order of events after a claim reaches the insurance carrier: 1. Application of leftover deductible 2. Examining the procedures performed and the 'medical necessity' on these procedures 3. Application of 'allowable payments options' for every procedure performed 4. Review of the claim for proper formatting and information
8. Which of the following correctly defines the Encounter Document?
9. Which of the following is the code for anesthesia (type of service code)?
10. Which of the following is not a feature of Managed Care Plans?
11. Which is a more efficient and less time consuming method to submit your claims?
12. What is a write off?
13. What is the length of the standard CPT codes?
14. What is the full form of AIDA?
15. Fill up the blank: National Provider Identifier is a _____ digit number.
16. It is necessary to attach a document called _________ when submitting a secondary claim.
17. State whether true or false: Ideal practice management software should have good reporting and multi-tasking capabilities.
18. What does the bottom of the CMS 1500 Form report?
19. What is a deductible?
20. Which of the following information is needed to complete the CMS 1500 form?
21. What is the role of a clearing house while submitting claims electronically?
22. What is the way to determine the primary and secondary policy if a child is covered under both parent's policies?
23. Which of these does not cover preventive care services?
24. In which box are the CPT codes entered on the CMS-1500 Form?
25. Which of these is not a suitable marketing strategy for medical billing business?

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