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Medical Billing Practice Review
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Medical Billing Practice Review
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25 Questions

1. Physicians who participate in the Medicare program must:

2. When selecting an E/M code - 3 components are considered

3. HIPAA stands for?

4. A nonparticipating provider in Tricare sees a patient for 3 allowed charges w/a total of $400. What's the maximum amount they may charge the patient?

5. What is the definition of revenue cycle?

6. 1 step in assigning a diagnostic code

7. What version of a patients name should be used when sending it to the payer?

8. What program did Tricare replace?

9. EMEVS stands for:

10. A person eligible for Medicaid in a given state is

11. 4 Step in assigning a diagnostic code

12. At what level are workers compensation programs administered?

13. What is the correct order for the basic steps of a payers adjudication process?

14. not elsewhere classifiable means that

15. How can TPAs help self-funded health plans?

16. What is the correct order of coverage between Tricare for life - Medicaid and Medicare?

17. Most states have moved Medicaid beneficiaries into which type of plan?

18. The law that regulates calling hours and collections methods is

19. Medicaid beneficiaries must meet

20. Insurance program for Federal government employees

21. How is workers compensation insurance funded under a state fund?

22. Which of the following is the uniformed services member in a family qualified for Tricare?

23. Remittance Advice remark codes explain

24. 1st type of important info needed for new patients

25. 3rd type of important info needed for new patients

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