Trios PB Feb-16 Monthly test

1.

1 point

Authorization required for POS 23?

True

False

2.

1 point

If the claim is denied as CPT inconsistent with modifier the claim should be moved to?

Payment posting

Error removal

Coder review

CPT should be adjusted

3.

1 point

Modifier 57 used for?

Follow up care only

Anaesthesia by surgeon

Decision for surgery

None of the above

4.

1 point

CLIA stands for?

Clinical Laboratory Improvement Act

Clinical Labor Improvement Amendments

Clinical Laboratory Improvement Amendments

None of the above

5.

1 point

Any amount that an insurance company may pay that is excess of the charges, balance on claim is referred to as a

Prepayment

Co-payment

Co-insurance

Overpayment

6.

1 point

When creating a coverage record, the member ID on the insurance card should be entered as the __________in Horizon Practice Plus

Group Id

Certificate number

Insured Id

Subscriber Id

7.

1 point

Any technical charge claims in which one CPT is paid and the other code is denied as Bundled\Inclusive or CO45. This type of denial claim can be?

Adjustment

Error corrected

Moved to coding

Bill to patient

8.

1 point

The functions on the Horizon Practice Plus system that is used to monitor all of the transactions that are posted to each account that exists on the system is_______

A/R Display

Registration

Claim summary

Scheduling

9.

1 point

When establishing coverage on an account, the__________must be created first

Insured

Subscriber

Guarantor

Patient

10.

1 point

For each adjustment amount that is identified for a particular line item, a _______must be entered in order to explain why the adjustment is being posted

Procedure Code

Remark Code

Patient Code

Adjustment Code

11.

1 point

POS 34 used for?

Urgent care

Ambulatory surgical center

Skilled nursing facility

None of the above

12.

1 point

To file a corrected claim need to make necessary changes & then update the claim# in the claim control box then rebill as corrected claim. Is this applicable for Medicare?

True

False

13.

1 point

Which of the following are valid methods for accessing AR Display?

Click the moneybag icon on the toolbar

Select Billing/AR Display from the menu bar

Press ctrl-R on the keyboard

All of the above

14.

1 point

What is the use of taxonomy codes?

To identify the provider group

For requesting the Authorization for specific doctor

To change the provider credentials

None of the above

15.

1 point

Once the guarantor of an account has been created, one and only one patient can be created on the guarantor's account

True

False