Billing Competency Quiz: Q2

12 Questions

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Competency Quizzes & Trivia

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Questions and Answers
  • 1. 
    How can you avoid creating a duplicate Medical Record Number (MRN) in IDX?
    • A. 

      Enter the patients full name and DOB

    • B. 

      You must have the patient’s Medical Record Number (MRN)

    • C. 

      Enter the patients partial name and DOB

    • D. 

      Enter the patients name, DOB, and MRN

  • 2. 
    When the system displays multiple accounts, you will need to:
    • A. 

      Select the correct account using the name and DOB

    • B. 

      Choose the first record that populates

    • C. 

      Select the patient without an MRN

    • D. 

      Exit the Master Patient Index Lookup and notify a supervisor

  • 3. 
    You will sometimes see your patient’s data pulled from the EAD and not from GE. If you are certain that no other account exists, you should?
    • A. 

      Create a ticket with the help desk

    • B. 

      Unclick the “Update GE demographic data with all EAD Demographic data” check box and click OK.

    • C. 

      Click the OK button and bring the information over to GE.

    • D. 

      Tell the patient you are unable to make an appointment.

  • 4. 
    The correct way to look up a patient in IDX is:
    • A. 

      5 Letters of the First name, 4 Letters of the Last Name & DOB

    • B. 

      4 Letters of the First name, 3 Letters of the Last Name & DOB

    • C. 

      5 Letters of the Last name, 4 Letters of the First Name & DOB

    • D. 

      4 Letters of the Last name, 3 Letters of the First Name & DOB

  • 5. 
    When should you run eligibility for your patient's insurance?
    • A. 

      Every visit for every patient

    • B. 

      New patients only

    • C. 

      New patients scheduled in the next 14 days

    • D. 

      New patients scheduled more than 14 days out

  • 6. 
    Accurate eligibility results require:
    • A. 

      Correct Name and DOB of patient

    • B. 

      Correct FSC on the Registration level

    • C. 

      Correct FSC on the Visit Level

    • D. 

      Both A & B

  • 7. 
    Urgent Pre-certs:
    • A. 

      Should be sent to the pre-cert bucket as soon as possible followed with an email to the precert staff

    • B. 

      Should be sent via email to the billing division

    • C. 

      Should only be sent if the DOS is less than 24hrs

    • D. 

      Should be called into the pre-cert staff

  • 8. 
    It is important to include all of the following in a pre-cert, except:
    • A. 

      Updating the date on the order to reflect the date of service

    • B. 

      CPT Codes

    • C. 

      Referring Provider

    • D. 

      Diagnosis Codes

  • 9. 
    What is needed for a physician to bill a Consult Level Code during an office visit?
    • A. 

      Referring Provider

    • B. 

      Medicare Insurance

    • C. 

      Specific Diagnosis Code

    • D. 

      None of the above

  • 10. 
    When canceling and rescheduling an appointment, you should check all of the following, except:
    • A. 

      Insurance is on the visit level

    • B. 

      Appointment numbers on the fee slip match the appointment number filed in IDX

    • C. 

      The old appointment is Canceled

    • D. 

      Insurance is on the registration level

  • 11. 
    If the patient is self-referred, the physician will not be able to bill a consult level CPT code.
    • A. 

      True

    • B. 

      False

  • 12. 
    As long as the patient’s demographic data, visit number, appointment number and CPT code are fulfilled on the fee slip, it is complete and should be submitted for batching.
    • A. 

      True

    • B. 

      False