Divine Medical Billing Assessment Test

11 Questions | By Mylikia | Last updated: Nov 14, 2014 | Total Attempts: 3465

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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?

Discuss
- 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)