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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. Charging for services that are not medically necessary are included under:
2. True or False? Tertiary insurance is intended to cover gaps in coverage the primary and secondary insurance may not cover.
3. Which of the following is an agreement made between the insurance company and the insured to send payments directly to the physician?
4. Coding for a name-brand medication when a generic brand was used is called __________.
5. A health benefit plan allowing the patient to choose to receive a service from a group of contracted providers is a:
6. What is the purpose of an Advanced Beneficiary Notice?
7. What is capitation?
8. True or False? A Medicaid MCO provides comprehensive services to Medicaid beneficiaries
9. Which one of the following was known as Medicare + Choice?
10. Medical care
11. According to the MBAA
12. The form which is specifically used to bill dental services is called?
13. The federal law that was originally created to safeguard an employees retirement benefits is abbreviated as:
14. True or False? AWP laws are state laws that require health insurance companies to accept into their PPO and HMO networks any provider willing to agree to the insurance company's terms and conditions.
15. True or false? Undercoding is illegal.
16. The date the insurance policy is set to begin or when benefits or covered services are allowed is most commonly known as the:
17. An illegal practice of assigning an ICD-9 diagnosis code that does not agree with the patient records for the purpose of increasing the reimbursement from the insurance payor is called:
18. Health insurance coverage which is contracted to supplement Medicare coverage is called:
19. Health Insurance Claim (HICN) is a number assigned by the Social Security Administration to an individual identifying him/her as a _______ beneficiary
20. When submitting a secondary claim
21. In DME claims which of the following is necessary: Referring physician or Ordering physician?
22. Which of the following would you likely use if billing Medicare?
23. A Remittance Advice statement is most similar to a(n):
24. The exact abbreviation of RA in medical billing terminology?
25. The claim form for billing for facility fees which replaces the UB92 form is the _______ form.

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