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BIM II Fall Semester Review Part 2
Test Description: CW103 Certification Part 2
Instructions: Answer all questions to get your test result.
1) When coding some procedures and services it is necessary to add a 2 digit modifier in order to ____________.
A
Meet federal guidelines
B
Give a more accurate description
C
Prevent miscoding
D
Indicate usual charges
2) Random audits of medical records by insurance carriers are used to __________.
A
Revise CPT codes
B
Monitor coding accuracy
C
Catch errors by insurance companies
D
Assess physician dictation timelines
3) It is best to delay the submission of certain claims until pathology reports are received because ____________.
A
You can never code symptoms on a claim
B
The physician’s office bills for the pathologist
C
Insurance companies require this
D
Malignant lesions are reimbursed at a higher rate
4) A correctly completed claim submitted within the policy time limit is termed a ____________.
A
Paper claim
B
Paid claim
C
Legal claim
D
Clean claim
5) An EOB document may include all of the following EXCEPT ____________.
A
Patient name
B
Deductible
C
Allowed amounts
D
Coding updates
6) Claims paid with no errors are considered ____________.
A
Closed
B
Pending
C
Suspended
D
Filed
7) A group of electronic claims submitted from one facility is termed a ____________.
A
Batch
B
Bunch
C
Cluster
D
Bundle
8) From beginning to end, an electronic claim versus a paper claim requires ____________.
A
More steps
B
Signature stamps
C
Documents be sent
D
Fewer steps
9) A third party entity that receives, separates, and transmits claims to the appropriate payer I called a(n) ____________.
A
Clearinghouse
B
Insurance specialist
C
National network
D
Carrier
10) Medicaid policy allows for coverage and payment of all services that are ____________.
A
Less than $100
B
Medically necessary
C
Billed by a physician
D
Viewed as appropriate by the physician
11) A plastic card containing information regarding a patient’s insurance, history and eligibility is called a ____________.
A
Record
B
Debit card
C
Disk
D
Smart card
*select an answer for all questions
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