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Medical Coding Quiz
Objective: Answer 7 out of 10 questions correctly.
forwards electronically secondary claim information.
When a duplicate
claim is sent and the same claim is returned for more information. (Essentially,
the two claims are "crossing" in the mail).
When a claim is
sent that has more than one box "crossed out".
There is no such
thing. You just made it up.
2. The order of the procedures listed on the CMS-1500 form can impact:
long it takes for the claim to be paid.
or not you are audited by the OIG.
Order does not matter.
3. A valid "place of service" code in box 24b is:
4. Linking of ICD-10 Codes and CPT codes refers to:
The number in box
24E should correspond to the one diagnosis code in box 21 that supports the
procedure (No A-L).
Refers to what CPT™
modifiers can be used.
In box 24E always link
ICD-10 code in box 21 with every CPT code in box 24D (e.g., A,B,C,D).
None of the above.
5. A "dirty" claim is:
One that has
coffee stains or smudge marks.
One that has
procedure codes that are not supported by the ICD-10 codes..
One that is
missing required information.
It's a term used
by Information Systems professionals to describe a claim that was not
electronically transmitted properly and shows only garbage data.
6. An EOB is:
End of Balance.
7. Which Carrier group always accepts all National HCPCS codes?
Blue Cross / Blue
None of the
8. When a physician accepts "assignment" for a Medicare patient,
provider will accept the allowed amount as payment in full.
Agrees to collect
the payment from the patient.
Must collect the
patient's co-pay up front.
50% or less of his customary fee.
9. Which service below is NOT covered by Part B Medicare?
Home health care.
10. Tricare provides health care benefits for:
uniformed (armed) services and their dependents.
Cross / Blue Shield enrollees.
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