General Billing-1

1.

1 point

If an injury has occurred during the work, which insurance would compensate the benefits?

Employer Group Health Plan

Workers Compensation

Individual Plan

Health Insurance

2.

1 point

To qualify for Medicare coverage, the recipient must___

Be 65 or older

Have permanent kidney failure

Be disabled

Any of the above

3.

1 point

What is the expansion of EOB?

4.

1 point

What is the format of Modifier?

3 digit

2 digit

5 digit

No format

5.

1 point

PHI stands for?

6.

1 point

What does CMS stands for?

Center of Medicare Services

Center of Medicine Services

Center for Medicare and Medicaid Services

None of the above

7.

1 point

What does CPT stands for?

Correct Provider Terminology

Current Procedural Terminology

Correct Procedural Terminology

Current Provider Terminology

8.

1 point

Insurance Payment + Coinsurance = ?

Allowed amount

Paid amount

Copay

Deductible

9.

1 point

What does NPI stand for?

National Primary Identifier

National Patient Identifier

National Provider Identifier

National Provider Information

10.

1 point

The Billed amount for an Office Visit is $180. The physician has a contract with an insurance carrier and the Allowed Amount is $ 125. What would the Contractual Adjustment be?

$ 305

$ 180

$ 125

$ 55

11.

1 point

What is the form used for Physician Billing?

CMS 1500

UB 04

UB 98

None of the above

12.

1 point

Expansion of HCPCS?

Health Insurance Common Procedure Coding System

Healthcare Common Procedure Coding System

Health Common Procedure Coding System

None of the above

13.

1 point

A fixed amount that the patient needs to pay towards his health benefits before the insurance starts its coverage is called

Copay

Co-insurance

Deductible

Coverage

14.

1 point

What is the difference between Diagnosis and Procedure Coding?

Diagnosis - Disease; Procedure - Treatment

Diagnosis - Treatment; Procedure - Disease

Diagnosis - Drug Procedure – Treatment

None of the above

15.

1 point

What does POS stands for?

Place of Service

Page of Service

Payment of Service

None of the above

16.

1 point

Expansion of PCP?

Preferred Care Physician

Primary Care Physician

Primary Certified Physician

None of these

17.

1 point

A small fixed amount that the Patient pays the doctor during each visit is called___

Copay

Co-insurance

Deductible

Coverage

18.

1 point

Billed amount - Allowed amount = ?

Write-off

Deductible

Copay

Coinsurance

19.

1 point

Expansion of HCFA?

Health Insurance Financial Administration

Health Common Financial Administration

Health Care Financial Administration

None of the above

20.

1 point

What does TOS stands for?

21.

1 point

What does ERA stands for?

22.

1 point

What is the form used for Hospital Billing?

CMS 1500

UB 04

UB 98

None of the above

23.

1 point

What does COB stands for?

Co-ordination of Beneficiary

Co-ordination of Benefits

Co-ordination of Billing

None of these

24.

1 point

What percent of the allowable amount does Medicare pay?

70%

65%

80%

90%

25.

1 point

What does HIPAA stands for?

Health Insurance Portability and Accountability Act

Health Insurance Portability and Accountability Agreement

Healthcare Insurance Portable and Accountable act

None of the above