Are you a graduate in life sciences? Are you a trained person with medical terminology? Are you willing to work in health care industry then log on to wisdom jobs online site. Medical billing and coding are two closely related aspects of the modern health care industry. Both practices are involved in the immensely important reimbursement cycle, which ensures that health care providers are paid for the services they perform. Medical coding is like translation. Medical billers take the information from the medical coder and make a bill for the insurance company called a claim. It’s a connection between health care providers, patients and insurance companies. As a medical coder and biller you need to read patient charts to determine medical history, including diagnosis and treatment given. So pick up the opportunity and become a health care professional by looking into Medical billing and coding job interview question and answers given enhance yourself in the field of healthcare industry.
Question 1. A Remittance Advice Statement Is Most Similar To A(n):
Answer :
EOB
Question 2. The Exact Abbreviation Of Ra In Medical Billing Terminology?
Answer :
Remittance Advice
Question 3. Is A Co-payment An Out Of Pocket Expense?
Answer :
Yes.A co-payment an out of pocket expense.
Question 4. The Predetermined (flat) Fee, A Patient Usually Has To Pay On Each Office Visit Is A:
Answer :
Co-pay
Question 5. What Is Dx Refer To?
Answer :
Diagnosis code
Question 6. What Organ Is Measured In An Ekg/ecg?
Answer :
Heart
Question 7. What Is A Premium?
Answer :
The amount paid for an insurance policy
Question 8. What Is Cobra Insurance?
Answer :
Insurance available to individuals after they become unemployed
Question 9. A Patient On An Hmo Plan Typically Needs A _________ To Receive Care From A Specialist.
Answer :
referral
Question 10. What Is Effective Date?
Answer :
The date the insurance policy is set to begin or when benefits or covered services are allowed is most commonly known as the Effective date.
Question 11. Sometimes Multiple Treatments Will Fall Under One Billing Code.
Answer :
True
Question 12. Place Of Service Codes On Claims Are There To Define?
Answer :
The place of service where services were rendered.
Answer :
HIPAA
Answer :
Premium
Question 15. What Does Cob Commonly Refer To?
Answer :
Coordination of Benefits
Answer :
The federal law that allows a worker to continue to purchase employer paid health insurance for up to 18 months if they lose their job or your coverage is otherwise terminated is known as COBRA.
Question 17. What Do The Cpt Codes Refer To?
Answer :
The procedures performed by a physician or a practitioner
Question 18. In Medical Billing, What Is The Function Of A Clearinghouse?
Answer :
It checks bills for errors then transmits them to the insurance company
Answer :
True
Question 20. Hipaa Stands For:
Answer :
Health Insurance Portability Accountability Act
Answer :
Balanced
Question 22. Which Of These Are Not Standard Statuses Of A Claim In A Typical Eob?
Answer :
Transition
Answer :
Medicare
Question 24. In Which Month Do Commercial Insurance And Medicare Deductibles Start Each Year?
Answer :
January
Question 25. If A Physician Uses An Open-panel Hmo, Can They See Non-hmo Patients?
Answer :
Yes, a physician uses an open-panel HMO, can they see non-HMO patients.
Question 26. Hospital Beds, Wheelchairs And Oxygen Equipment Would Be Considered Examples Of:
Answer :
DME
Answer :
The above statment is True.
Answer :
Fee-for-Service
Question 29. What Is Capitation?
Answer :
A system that pays physicians and nurses a set amount per enrolled patient assigned to them.
Answer :
Explanation of Benefits
Question 31. What Is The Purpose Of An Advanced Beneficiary Notice?
Answer :
To alert a patient that Medicare may deny payment for a specific procedure or treatment.
Question 32. Which Would You Likely Use If Billing Medicare?
Answer :
HCFA1500
Question 33. With The Implementation Of Hipaa, All The Following Systems Became Mandatory Except:
Answer :
ADT
Question 34. Which Part Of Medicare Is The Drug Prescription Coverage?
Answer :
Part D
Question 35. The Employer Identification Number Is Also Known As The:
Answer :
Federal Tax Identification Number
Question 36. What Is A Clearing House?
Answer :
Intermediary between provider and insurance
Question 37. What Is Upcoding?
Answer :
An illegal practice of assigning an ICD-9 diagnosis code that does not agree with the patient records for the purpose of increasing the reimbursement from the insurance payor is called Upcoding.
Answer :
The ICD-9-CM coding classification to identify health care for reasons other than injury or illness is know as V-code.
Answer :
Assignment of Benefits
Question 40. Who Is Eligible For Medicare Part C?
Answer :
An individual who is covered under Parts A and B.
Question 41. What Does Ucr Stand For?
Answer :
Usual, customary, or reasonable
Question 42. What Could Pos Exactly Stand For In Medical Billing?
Answer :
Place of Service
Question 43. What Are Modifiers Used For?
Answer :
They are used to add more information about a CPT code
Question 44. Level Ii Hcpcs Codes Are Formatted As A Single Letter Followed By _________.
Answer :
Four numeric digits
Answer :
UB04
Question 46. How Many Digits Are In A National Provider Identifier?
Answer :
10
Question 47. Which One Was Known As Medicare + Choice?
Answer :
Part C
Question 48. What Is Ancillary Care?
Answer :
Medical care, other than those provided by the physician or hospital, which are related to a patient’s care, are called Ancillary care.
Question 49. What Is Revenue Code?
Answer :
A 3-digit number used on hospital bills to tell the insurer where the patient was when they received treatment, or what type of item a patient received, is the Revenue Code.
Question 50. Tricare Was Formerly Known As
Answer :
Civilian Health and Medical Program of the Uniformed Services(CHAMPUS).
Question 51. What Is A Challenge Of Processing Medical Bills Off Site?
Answer :
The biller may not be able to contact the physician
Question 52. What Is Actuarial Balance?
Answer :
The difference between the summarized income rate and the summarized cost rate over a given valuation period is the Actuarial Balance.
Medical Billing and Coding Related Tutorials |
---|
Medical Terminology(Adaptive*) Tutorial |
Medical Billing and Coding Related Practice Tests |
|
---|---|
Medical Terminology(Adaptive*) Practice Tests | Biomedical Engineering Practice Tests |
Medical Billing and Coding Practice Tests | Medical Cardiology Practice Tests |
Medical Transcription Practice Tests |
Medical Billing And Coding Practice Test
All rights reserved © 2020 Wisdom IT Services India Pvt. Ltd
Wisdomjobs.com is one of the best job search sites in India.