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Insurance
Medical Office
Coding

HIPAA
Potourri
100
A patient's medical fees come to a total of $90.00 from a participating provider. What can you bill the patient if the EOB lists the itemization? Charges: $90.00 Not Eligible for Payment: $12.00 Allowed Charge: $78.00 Applied to deductible: $30.00 Copayment: $10.00 Amount due from the carrier: $38.00
What is $40.00
100
Which of the following is the most secure way to mail something through the U.S. Postal Service?
What is Registered Mail
100
Which of the following diagnosis categories are coded on insurance claim forms? *Probable *Possible *Established *Suspected
What is Established
100
A nine-year-old girl is picked up at the medical office by her father. Her parents are divorced, and her mother has legal custody. The father would like to see the girl's medical records. Can he see the medical records?
What is No, not without the mother's written consent
100
Who owns the medical record?
What is The physician
200
Carol Jones is a patient with Medicare at your medical office. She has come in for treatment for which the usual fee is $175.00; however the MFS allows only $140.00 for such a service. Carol's copayment is 10% of any treatment. How much do you bill Carol?
What is $14.00
200
In which letter style are all lines flush left except for the dateline, complimentary closing, and signature?
What is Modified Block
200
HCPCS is the abbreviation for the Health Care Procedural Coding System, mandated by Congress for which insurance company?
What is Medicare
200
This section of HIPAA allows individuals to carry their health insurance from one job to another so that they do not have a lapse in coverage. It also restricts health plans from requiring pre-existing conditions on individuals who switch from one health plan to another. This is called?
What is Health Insurance Portability
200
A check written by a bank against its funds in another bank is called a?
What is Bank draft
300
What is the Medicare fee schedule (MFS) based on?
What is The Resource-Based Relative Value Scale (RBRVS)
300
Under the old mail classification system, manuscript copies and circulars were sent as what class mail?
What is third class mail
300
A certain patient often comes to your office for cancer treatment. When this patient comes in with a sore throat caused by the flu, what is the primary diagnosis according to the ICD-9 (10)-CM?
What is Flu
300
According to the American Medical Association, how long should you keep patient records after the patient's final visit?
What is 10 years
300
Telephone triage means?
What is screening and sorting emergency situtations
400
The amount due from the patient for covered services from a NON-participating provider is
What is the difference between the allowed charge and the physician's fee plus any coinsurance or copayment
400
Which of the following proofreaders' symbols means "move text to the right"?
What is ]
400
The CMS-1500 is
What is a commonly used insurance claim form
400
HIPAA stands for?
What is Health Insurance Portability and Accountability Act
400
What insurance covers medical expenses for patients who are injured on the physician's property?
What is liability
500
TRICARE was formerly known as?
What is CHAMPUS
500
When filing patient records, number (1,2,3,4) each in the correct order. 1. Paul Edwards Jr. 2. Paul Edwards Sr. 3. Paul J. Edwards Sr. 4. P. Travis Edwards Jr. 5. P. Travis Edwards Sr.
What is 4. Edwards P. Travis Jr. 5. Edwards P. Travis Sr. 1. Edwards Paul Jr. 2. Edwards Paul Sr. 3. Edwards J. Paul
500
Groups of procedures related directly to diagnosis are referred to as
What is Diagnostic Related Groups (DRGs)
500
HIPAA requires what entitles to comply?
What is: Health care providers, Health care clearinghouses, and health plans
500
What is the earliest time a telephone call could be placed by a medical assistant in Miami, Florida to an office in Honolulu, Hawaii if both offices are open from 9:00 a.m. to 5:00 p.m.?
What is 2:00 p.m.