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