Pre-Reg Weekly Test 07142014

1.

1 point

7. For which of the following service(s) facility benefits should be updated

C. Physical Therapy (PT) & Occupational Therapy (OT) services

D. Emergency services

A. Primary Care Physician (PCP) office visits

B. Specialist office visits

2.

1 point

10. Insurance is Medicare advantage generic plan, but there is no member ID#, claims address, insurance phone number. These type of accounts should be moved to calling team

True

False

3.

1 point

1. What will you do if a policy is termed ?

B. Simply remove that policy from coverage info

D. Straight away move the account to calling team

A. Update the termination date for the policy and close the account

C. Update the termination date for the policy and then search for active policy with patient’s name and DOB in website

4.

1 point

3. Identify the correct order of COB among the below insurances

A. Medicaid, United health care, Medicare

C. Medicare, BCBS, Tricare for life

B. USAA, Group health insurance (GHI), Medicare

D. Medicare, Tricare for Life, GEHA

5.

1 point

5. Billing indicator should be added to which of the following appointments

B. Appointments with generic coverage

D. Appointments with behavioral health coverage

A. Appointments with specific coverage

C. Ineligible appointments

6.

1 point

4. If a patient has his/her own unique ID#, then what would be the relationship to subscriber?

A. Spouse

C. Unknown

B. Child

D. Self

7.

1 point

6. What type of following appointments should be updated with billing indicator and deferred for 2 days. Select the most appropriate answer among the following options

D. Both A & C

C. Appointments which are moved to needs review status

A. Appointments with generic coverage

B. Appointments with specific coverage

8.

1 point

2. Identify the correct series of BCBS NC alpha prefixes among the below

C. YPA, YLP, YKT, KYC

B. YPH, YPI, YPJ, XOF

D. YPA, YPF, YPP, YPW

A. YPP, YPY, YPZ, YQA

9.

1 point

9. We are supposed to work on which of the following coverage tabs

B. P/F, Trans & B/H tab

C. P/F tab only

D. P/F, Sp Pricing, TPL & W/C tab

A. P/F and B/H tab

10.

1 point

8. What should be updated in the payor patient name, if patient is spouse/child under the policy

D. Both A and B

C. Either A or B

B. Subscriber’s name

A. Patient’s name