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