Claims Processing Quizzes, Questions & Answers

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Insurance Chapter 4: Prossessing An Insurance Claim

Explore the essentials of processing insurance claims in Chapter 4: Processing an Insurance Claim. This quiz assesses understanding of direct reimbursements, Medicare communications, claims submission, and the role of...

Questions: 25 | Attempts: 2343 | Last updated: Mar 22, 2023

Sample Question 1
Which means that the paitent and or insured has authorized the payer to reimburse the provider directly?

Accept assignment

Assignment of benifits

Coordination of benifits

Medical necessity

Sample Question 2
Providers who o not accept assignment of Medicare benefits do not receive information included in the ______, which is sent to the patient.

Electronic flat file

Encounter form

Ledger

Medicare summary notice

Medicare Secondary Payer Questionnaire Test

This quiz tests knowledge on Medicare Secondary Payer rules, focusing on determining primary payer responsibility and relevant dates.

Questions: 26 | Attempts: 3094 | Last updated: Jun 20, 2024

Sample Question 1
What is the primary purpose of the MSP questionnaire?

To provide the patient's retirement dates for the Centers for Medicare and Medicaid

To determine the primary payer of the account

To determine if the patient has Medicare because of Age, Disability, or End Stage Renal Disease.

To record accident information for a Medicare patient so that it can be sent to the Centers for Medicare and Medicaid

Sample Question 2
If the patient cannot recall the exact date of their retirement, but they know the year that they retired, what do you list as the retirement date?

The year only, and acctdoc that the patient didn't know the month and day.

December first of the given year

January first of the given year

Acctdoc with MQ that the patient did not know their date and do not fill out the questionnaire.

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Insurance Health Basics/Health Insurance Claim Form-hi-1011 Chapters 17 & 18

Insurance Health Basics/Health Insurance Claim Form-HI-1011 Chapters 17 & 18

This quiz covers key concepts in health insurance claims, focusing on rules like the birthday rule, managed care costs, group coverages, and in-network distinctions. It assesses understanding of UCR formulas and authorization...

Questions: 21 | Attempts: 318 | Last updated: Mar 21, 2023

Sample Question
The birthday rule is when an individual is covered by two insurance policies, the insurance plan of the policyholder whose birthday comes first in the calendar year becomes the primary insurance.

True

False

Introduction To Benefit Coding Process

Introduction to Benefit Coding Process

This quiz on 'Introduction to Benefit Coding Process' assesses understanding of the roles, systems, and advantages involved in coding benefits for insurance claims. It evaluates knowledge on NASCO and the validity checks...

Questions: 14 | Attempts: 191 | Last updated: Mar 21, 2023

Sample Question
Who is responsible for translating the requested benefits into codes understandable to the system? (1 Mark)

Code Tester

Benefit Coder

NASCO

NPS

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