How Much Do You Know About Medical Billing?

8 Questions

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Medical Quizzes & Trivia

Medical billing refers to submission and follows up on claims with health insurance companies which translates a healthcare service into a billing claim. Only a trained biller can assign medical record documentation, such as transcription of physician's notes, laboratory results etc. This quiz has been developed to test your knowledge about medical claims billing. So, let's try out the quiz. All the best!


Questions and Answers
  • 1. 
    • A. 

      They mean the same thing and used by insurance companies interchangebly

    • B. 

      Coinsurance is a percentage and copay is a set amount

    • C. 

       Copay is a percentage and coinsurance is a set amount

    • D. 

      Coinsurance is the term used only for Medicare patients

  • 2. 
    • A. 

       Utilization management program that performs external utilization review services

    • B. 

      Prauthorizations that are required for outpatient services

    • C. 

      Amounts commonly charged for a service within a particular geographic region

    • D. 

      An employer managed healthcare plan

  • 3. 
    • A. 

      Employer Designated Insurer

    • B. 

       External Data Integrity

    • C. 

      Error on Data Insurance

    • D. 

       Electronic Data Interchange

  • 4. 
    • A. 

      The amount the insurance company will pay before patient co-insurance benefits are calculated

    • B. 

      A specific dollar amount set by the insurance company for each visit or medical service that is rendered

    • C. 

      The amount the patient is financially responsible before an insurance policy provides payment

    • D. 

      The amount the insurance company is financially responsible before before other benefits are paid

  • 5. 
    • A. 

      UB04

    • B. 

      CMS1250

    • C. 

      CMS1500

    • D. 

      HSA

  • 6. 
    • A. 

      Physicians coordinating with other providers or agencies services to be provided to patient

    • B. 

      Prevents multiple insurance plans from paying benefits covered by other plans when the patient has more than one policy

    • C. 

       Allows employees to continue healthcare coverage beyond the benefit termination date

    • D. 

      Supplemental plans designed to cover costs not paid by Medicare

  • 7. 
    • A. 

      You have one year for all contracts to file a claim with the insurance company

    • B. 

      Per govenment regulations, you have only 30 days from the date of service to file insurance claims

    • C. 

      You must file the claim within a set amount of time your insurance contract indicates to be paid

    • D. 

       You must file the claim within 60 days of dictation by the provider

  • 8. 
    • A. 

      The claim is reviewed by the insurance company to make sure it correct for demographics, codes, payer rules have been followed and are covered benefit under the patient’s insurance contract

    • B. 

      This is the process a claim goes through for all appeals or denials that are refiled by the provider

    • C. 

      These are the claims that have been preauthorized for surgical procedures

    • D. 

      This is the credentialing process the physician must go through to become a provider with an insurance company