Question 1

Block 1 of the CMS-1500 contains what information?

Accepted Answer

A)   Patient's name
B)   Insured's name
C)   Type of insurance coverage
D)   Carrier addressE) None of the above
F) B) and D)

Question 2

The patient billing record includes which of the following information?

Accepted Answer

A)   Insurance billing information
B)   Diagnostic information
C)   Procedural information
D)   Medication informationE) C) and D)
F) B) and D)

Question 3

A claim that is missing information and is returned to the provider for correction and resubmission is called a(n)  __________ claim.

Accepted Answer

A)   clean
B)   dirty
C)   dingy
D)   incompleteE) A) and B)
F) A) and C)

Question 4

The provider is paid a set amount for each enrolled person assigned to them, per period of time, whether or not that person has received services is the definition of

Accepted Answer

A)   eligibility.
B)   precertification.
C)   medical necessity.
D)   capitation.E) A) and D)
F) A) and C)

Question 5

Claims that are done by direct billing first go to a clearinghouse.

Accepted Answer

A) True 
 B)False

Question 6

The insured's name is found in block

Accepted Answer

A)   1.
B)   2.
C)   3.
D)   4.E) B) and D)
F) A) and B)

Question 7

The National Provider Identifier is assigned by the AMA.

Accepted Answer

A) True 
 B)False

Question 8

Patient care approached from a holistic approach defines

Accepted Answer

A)   Health Maintenance Organizations.
B)   Patient-Centered Medical Home.
C)   precertification.
D)   medical necessity.E) B) and C)
F) C) and D)

Question 9

Which of the following is typically documented in the explanation of benefits (EOB) ?

Accepted Answer

A)   Patient's deductible
B)   Co-insurance
C)   Copayment
D)   Both A and B
E)   All of the aboveF) C) and D)
G) B) and E)

Question 10

Insurance information should be collected on the first visit.

Accepted Answer

A) True 
 B)False

Exam 26: Billing and Reimbursement

Block 1 of the CMS-1500 contains what information?

Correct Answer
verified

A claim that is missing information and is returned to the provider for correction and resubmission is called a(n) __________ claim.

Correct Answer
verified

The provider is paid a set amount for each enrolled person assigned to them, per period of time, whether or not that person has received services is the definition of

Correct Answer
verified

Which of the following is typically documented in the explanation of benefits (EOB) ?

Correct Answer
verified

Patient care approached from a holistic approach defines

Correct Answer
verified

Insurance information should be collected on the first visit.

Correct Answer
verified

The National Provider Identifier is assigned by the AMA.

Correct Answer
verified

Claims that are done by direct billing first go to a clearinghouse.

Correct Answer
verified

The insured's name is found in block

Correct Answer
verified

The patient billing record includes which of the following information?

Correct Answer
verified

Exam 26: Billing and Reimbursement

Block 1 of the CMS-1500 contains what information?

Correct AnswerverifiedShow Answer

A claim that is missing information and is returned to the provider for correction and resubmission is called a(n) __________ claim.

Correct AnswerverifiedShow Answer

The provider is paid a set amount for each enrolled person assigned to them, per period of time, whether or not that person has received services is the definition of

Correct AnswerverifiedShow Answer

Which of the following is typically documented in the explanation of benefits (EOB) ?

Correct AnswerverifiedShow Answer

Patient care approached from a holistic approach defines

Correct AnswerverifiedShow Answer

Insurance information should be collected on the first visit.

Correct AnswerverifiedShow Answer

The National Provider Identifier is assigned by the AMA.

Correct AnswerverifiedShow Answer

Claims that are done by direct billing first go to a clearinghouse.

Correct AnswerverifiedShow Answer

The insured's name is found in block

Correct AnswerverifiedShow Answer

The patient billing record includes which of the following information?

Correct AnswerverifiedShow Answer

Correct Answer
verified

Correct Answer
verified

Correct Answer
verified

Correct Answer
verified

Correct Answer
verified

Correct Answer
verified

Correct Answer
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Correct Answer
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Correct Answer
verified

Correct Answer
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