Divine Medical Billing Assessment Test

11 Questions | Total Attempts: 3573

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Assessment Test Quizzes & Trivia

Divine Medical Billing assessment test.


Questions and Answers
  • 1. 
    Mary Smith is seen by Main Street Medical. The patient complains of chest pain and has hypertension. The provider performs a evaluation and management code (99214) and a EKG (93000). What modifier would be used on this claim?
    • A. 

      59

    • B. 

      76

    • C. 

      26

    • D. 

      25

    • E. 

      TC

  • 2. 
    Mary Smith is seen by a provider at Main Street Medical. The insurance responds that the patient may be covered by another insurance. As the medical biller, would you?
    • A. 

      Write the claim off.

    • B. 

      Leave the claim on the books until the next visit.

    • C. 

      Contact the patient to see if they have another insurance.

    • D. 

      Refill the claim to the same insurance.

    • E. 

      File a complaint with the State Insurance Commissioner.

  • 3. 
    The acronym HIPAA stands for?
    • A. 

      Health Insurance Portability and Accountability Act.

    • B. 

      Health Institution of Patient Accessibility Act.

    • C. 

      Health Information and Patient Accessibility Administration.

    • D. 

      Health Information Provided to All Accountable.

    • E. 

      None of these above.

  • 4. 
    Mary Smith is seen by Main Street Medical. She has a $500 deductible. Mary Smith has met $450 of her deductible. Her insurance was billed a 99213 at $95. The insurance allowed $80 and paid $30. How much should the patient be billed?
    • A. 

      $175

    • B. 

      $110

    • C. 

      $95

    • D. 

      $15

    • E. 

      $50

  • 5. 
    Mary Smith is seen by Main Street Medical. She has a $500 deductible. Mary Smith has met $450 of her deductible. Her insurance was billed a 99213 at $95. The insurance allowed $80 and paid $30. What is the adjusted amount?
    • A. 

      $175

    • B. 

      $110

    • C. 

      $95

    • D. 

      $15

    • E. 

      $50

  • 6. 
    Mary Smith is seen by Main Street Medical. She has a $500 deductible. Mary Smith has met $450 of her deductible. Her insurance was billed a 99213 at $95. The insurance allowed $80 and paid $30. What is the charge amount?
    • A. 

      $175

    • B. 

      $110

    • C. 

      $95

    • D. 

      $15

    • E. 

      $50

  • 7. 
    Medical professional services for a Medicare patient are billed under?
    • A. 

      Medicare Part A

    • B. 

      Medicare Part B

    • C. 

      Medicare Part D

    • D. 

      None of these above

  • 8. 
    The type of code to describe a procedure or service is?
    • A. 

      ICD-9 code

    • B. 

      HCPS code

    • C. 

      CPT code

    • D. 

      Revenue code

  • 9. 
    The type of code to describe a diagnosis is?
    • A. 

      ICD-9 code

    • B. 

      HCPS code

    • C. 

      CPT code

    • D. 

      Revenue code

  • 10. 
    If a patient is 65 years of age and retired, but has Medicare and Blue Cross, which insurance would you bill primary?
    • A. 

      Medicare

    • B. 

      Blue Cross

    • C. 

      Option 3

    • D. 

      Option 4

  • 11. 
    If a claim was denied for timely filing, what action would you take to try to get the claim paid? (Use the space below to write your answer)
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