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