Divine Medical Billing Assessment Test
Divine Medical Billing assessment test.
- 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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