Navigation » List of Schools » Glendale Community College » Medical Office Administration » MOA 183 – Medical Billing and Coding » Fall 2020 » Exam 3
Below are the questions for the exam with the choices of answers:
Question #1
A disabled adults.
B immigrants.
C families that need temporary assistance.
D children with disabilities
Question #2
A preventive care case management.
B primary coverage and care management.
C primary care case management.
D per case care management.
Question #3
A through contracts with managed care organizations.
B through a per-diem rate.
C using a scale based on the beneficiary’s annual income.
D based on the Medicare fee schedule.
Question #4
A family planning services.
B preventive care services.
C hospital services.
D physician office visits.
Question #5
A CMS-1500 claim form.
B UB-04 claim form.
C Title XIX claim form.
D Medicaid claim form.
Question #6
A optometrist services and eyeglasses.
B transportation services.
C rehabilitation services.
D acupuncture for pain relief.
Question #7
A Copayments
B All of these
C Deductibles
D Coinsurance
Question #8
A nation.
B city.
C county.
D state.
Question #9
A the elderly.
B the blind.
C pregnant women.
D the disabled.
Question #10
A a coinsurance amount applies.
B a deductible is paid.
C Medicaid begins paying for services.
D Medicare begins paying for services.
Question #11
A the medically needy.
B the categorically needy.
C special groups.
D All of these
Question #12
A Medicare.
B private insurance.
C individuals.
D Medicaid.
Question #13
A TRUE
B FALSE
Question #14
A FALSE
B TRUE
Question #15
A TRUE
B FALSE
Question #16
A FALSE
B TRUE
Question #17
A The patient works for an employer with 20 or fewer employees.
B The patient has group health insurance through a working spouse.
C The patient’s injury or condition is covered by workers’ compensation.
D The patient’s condition is the result of an automobile accident.
Question #18
A They are required to file Medicare claims on behalf of Medicare patients.
B They receive 15% lower fees for services than participating providers.
C They have access to beneficiary eligibility information.
D They receive 10% lower fees for services than participating providers.
Question #19
A 30%
B 20%
C 25%
D 15%
Question #20
A Per diem
B Capitation
C Fee-for-service
D Sliding scale
Question #21
A Physical therapy
B Routine eye care
C Acupuncture
D Dental care
Question #22
A a second opinion has been obtained before the surgery.
B the patient has not exceeded his or her Part A benefit limit.
C services are performed in a hospital that is an approved Medicare provider.
D an in-home caregiver will be available to care for the patient after surgery.
Question #23
A in-home care.
B All of these.
C inpatient respite care.
D short-term hospital care.
Question #24
A 30 days of hospital care.
B unlimited days of hospital care if medically necessary.
C 90 days of hospital care.
D 60 days of hospital care.
Question #25
A carriers.
B administrators.
C contractors.
D intermediaries.
Question #26
A Medicare Part B.
B Medicare Part A.
C Medicare Advantage (MA).
D Medicare Part D.
Question #27
A TRUE
B FALSE
Question #28
A TRUE
B FALSE
Question #29
A terminal care.
B critical care.
C hospice care.
D home healthcare.
Question #30
A discharge status codes.
B admission type codes.
C admission source codes.
D condition codes.
Question #31
A Code 00
B It would be noted as “unknown.”
C Code 99
D It would be left blank.
Question #32
A F
B 1
C 2
D M
Question #33
A second digit.
B third digit.
C fourth digit.
D first digit.
Question #34
A complication.
B comorbidity.
C exacerbation.
D chronic condition.
Question #35
A admitting physician.
B primary care physician.
C attending physician.
D rendering physician.
Question #36
A number of diagnoses.
B age of the patient.
C health status of the patient.
D a particular organ system.
Question #37
A usual fees.
B number of days.
C diagnoses.
D procedures.
Question #38
A 14 days following discharge.
B 30 days following admittance.
C 1—2 days following discharge.
D 7 days following admittance.
Question #39
A TRUE
B FALSE
Question #40
A Examination Indicates Nothing.
B Estimated Insurance Number for payment.
C Employer Identifier for National Coverage.
D Employer Identification Number.
Question #41
A the National Preferred Identifier for clearinghouses must be entered.
B the National Provider Identifier must be entered.
C the National Health Plan Identifier must be entered.
D a condition was Not Present or Indicated upon examination.
Question #42
A compliance and auditing guidelines.
B privacy and security rules.
C transaction and code sets.
D uniform identifiers.
Question #43
A amount paid.
B physician’s federal tax ID number.
C patient’s account number.
D total charges.
Question #44
A Plan A is primary, and Plan B is secondary.
B Plan B is primary, and Plan A is secondary.
C only Plan A will pay for her benefits.
D Plan B will pay all of the benefits.
Question #45
A erroneous claim.
B clean claim.
C dirty claim.
D incomplete claim
Question #46
A the Health Insurance Portability and Accountability Act (HIPAA).
B the Centers for Medicare and Medicaid Services (CMS).
C the Internal Revenue Service (IRS).
D insurance carriers.
Question #47
A billing service.
B clearinghouse.
C independent auditing firm.
D third-party administrator.
Question #48
A Superbill
B UB-04 claim form
C CMS-1500 claim form
D Verification of benefits form
Question #49
A assignment of benefits form.
B patient information form.
C explanation of benefits form.
D release of information form.
Question #50
A the diagnosis code does not match the CPT code.
B patient’s insurance number is incorrect.
C accept assignment is checked.
D date of last menstrual period (LMP) is missing.