August'16 Monthly Test

1.

1 point

Why is 25 modifier used?

An E&M service that resulted in the initial decision to perform the surgery.

Significant, separately identifiable evaluation and management (E/M) service by the same physician* on the day of a procedure

This is used to identify the Unrelated evaluation and management (E/M) service.

Distinct procedural service.

2.

1 point

If the received date updated for “Adjustment remark code” is 03/10/2014, then what is the correct way of date format to search EOB in onecontent?

KPC20141003

KPC03102014

KPC20140310

03102014KPC

3.

1 point

We can find AOB singed by patient in field locator __________ in HCFA 1500 form

12

13

9

None of the above

4.

1 point

Payment made periodically to keep an insurance policy in force is called_____________

Premium

Fee-for-service

Time limit

Coinsurance

5.

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

6.

1 point

If the claim is paid by primary insurance & an over payment is posted in the overpayment tab & the claim is also filed to secondary insurance with no response from secondary. What action has to be taken on the claim?

Adjust the charges

Need to follow with Primary insurance

Need to follow with Sec insurance

None of the above

7.

1 point

When the claim is sent for adjustment, a screen shot of the claim in horizon plus showing all the details of the patient & insurance can be used as a supporting documents.

True

False

8.

1 point

When the claim is error corrected & filed to insurance, the notes needs to be updated in

claim notes

online notes

A/R display

None of above

9.

1 point

Which of the following windows can be used for posting remittance such as adjustment and remark codes?

The Line Item Posting Window

The Remark Code History Window

The Claims Manager Summary Window

The Claim Notes Window

10.

1 point

________ is a payment that is made for a specific service that will be rendered in the future.

Prepayment

Unapplied Payment

Adjustment

Applied Payment

11.

1 point

HCPCS stands for

Healthcare Current Procedure Coding system

Healthcare Common Procedure Coding system

Healthcare Coding Procedure Common system

None of the above

12.

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.

Remark Code

Procedure Code

Patient Code.

Adjustment Code

13.

1 point

EOB is not required when the claim is being adjusted for “Primary paid more than secondary allowed amount” scenario.

True

False

14.

1 point

CLIA stands for?

Clinical Laboratory Improvement Act

Clinical Labour Improvement Amendments

Clinical Laboratory Improvement Amendments

None of the above

15.

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