Basics -Newsetup

1.

5 points

What is Part B Deductible

Medical Insurance

Durable Medical Equipment

Hospital Insurance

None of the Above

2.

5 points

For BCBS if the prefix starts with R, then the patient is in Federal Employee program.

True

False

3.

5 points

What is the diagnostic code for OSA?

320.20

323.26

327.23

320.27

4.

5 points

What is the Pressure Settings for CPAP

4 to 20 CM

4 to 15 CM

4 to 25 CM

4 to 10 CM

5.

5 points

IF Medicare is primary for any insurance pre auth is not req.

True

False

6.

5 points

What are the different types of referrals which has to be entered in Encoreanywhere

Medical Clinic of Houston,UTMB Harbourview,T I R R

Kelsey-Seybold,Houston Neurological Institute(H.N.I.),Methodist

None of the above

Kelsey-Seybold,Houston Neurological Institute(H.N.I.),Methodist,Medical Clinic of Houston,UTMB Harbourview,T I R R

7.

5 points

What is CPAP

Center for Public Administration and Policy

Coalition for the Prevention of Alcohol Problems

None of the above

Continuous Positive Airway Pressure

8.

5 points

For Tricare and Tricare for Life, if the effective date is of the current year, the date must be entered three years prior to it in the verification form

True

False

9.

5 points

What are the different kinds of documents you will look for before verifying an Insurance for a Medicare Patient in Full setup?

None of the above

Prescription,Sleep Study

Initial FTF,Prescription,Sleep Study

Initial FTF,Prescription,Sleep Study,Demography

10.

5 points

When we verify Medicare what is the benefit we will look for ?

Part A Deductible

Part C Deductible

Part D Deductible

Part B Deductible

11.

5 points

What is a HCPCS Code

Healthcare Common Procedure Coding System

Healthcare Current Procedure System

Healthcare Common Procedure System

None of the above

12.

5 points

Pre-cert should be checked for all Insurance except for Medicare and Aetna ?

True

False

13.

5 points

What is a Technical term for a sleep study

Polysomnographic

Polysamnographic

Polysimnographic

None of the above

14.

5 points

What is the procedure code you will use for BIPAP - ST

E0471

E0472

E0470

E0473

15.

5 points

Monitor Medical is always In Network with UHC Policy

True

False

16.

5 points

What does a Split night Study include

Diagnostic and Therapeutic Study

None of the above

Diagnostic and Titration Study

Diagnostic and Baseline Study

17.

5 points

What is ICD Code stand for

International Classification

International Classification of Diseases

None of the above

International Statistical Classification of Diseases

18.

5 points

When you call Medicare and if the IVR says No HMO then what type of plan is that

Choice Plus

Medicare Advantage

Medicare PPO

PPO

19.

5 points

What is DME ?

Durable Medical Equipment

None of the above

Durable Monitor Equipment

Durable Mentor Equipment

20.

5 points

When verifying Medicare when are we suppose to call the CSR for maintanence

None of the above

if the CMN is after 2006

if the CMN is before 2006

if there is no CMN on file

21.

5 points

For Tricare for Life the type of year will be always Calender year policy

True

False

22.

5 points

What is a CPT Code?

Current Procedure Terminology

None of the above

Current Procedural Terminology

Current Process Terminology

23.

5 points

How often a CPAP Unit can be replaced with a Medicare Patient

Every Year

None of the above

Once every 5 years

Once every 3 years

24.

5 points

1. Give the abbreviation for OSA?

Obstructive Sleep Apnea

Obstructive Apnea

Obstructive Sleep Disorder

None of the above

25.

5 points

Medicare requires to see a sleep test for every patient, no matter what the diagnosis is

True

False