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CMA Admin 4
Test Description: CMA Administrative Procedures Review 4
Instructions: Answer all questions to get your test result.
1) A bill in never sent to the patient in which type of case?
A
Medicare
B
Blue Cross/Blue Shield
C
Worker's Compensation
D
Indemnity insurance plan
2) Assuming a doctor actually charged for a given service in a year's time $28, $30, $32, $32, and $35, the usual fee would be
A
an average
B
$30
C
$28
D
$32
3) Blue Sheild makes direct payment to
A
all policyholders
B
the hospital
C
all physicians
D
physician members
4) Medicare forms must be signed by the
A
physician only
B
patient only
C
patient and the physician
D
patient and the medical assistant
5) The proportion of a patient's charge billed to Medicare Part B that will be paid is
A
80%
B
70% of reasonable charge
C
total amount of bill
D
80% of the allowed charge minus a deductible
6) The CPT-4 method of procedural coding became the procedural coding terminology of choice when
A
Blue Cross/Blue Shield adopted it
B
the AMA promoted it
C
the states adopted it
D
the Medicare program used it as the first level of HCPCS
7) Coordination of benefits is also known as
A
nonduplication of benefits
B
coinsurance
C
exclusions
D
assignment of insurance benefits
8) The CPT-4 coding system uses a main number to describe particular services. This main number uses a base of
A
three digits
B
four digits
C
five digits
D
six digits
9) An insurance specialist coded a patient's diagnosis of acute appendicitis with the number 540.9. What system of coding was she using?
A
Medicaid
B
ICD-9
C
HCPCS
D
CPT-4
10) How many levels are used in the Health Care Financing Administration Common Procedure Coding System (HCPCS)?
A
two
B
four
C
three
D
one
*select an answer for all questions
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