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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
Blue Cross/Blue Shield
B
Indemnity insurance plan
C
Medicare
D
Worker's Compensation
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
$30
B
$32
C
an average
D
$28
3) Blue Sheild makes direct payment to
A
physician members
B
all policyholders
C
the hospital
D
all physicians
4) Medicare forms must be signed by the
A
patient only
B
patient and the medical assistant
C
physician only
D
patient and the physician
5) The proportion of a patient's charge billed to Medicare Part B that will be paid is
A
80%
B
80% of the allowed charge minus a deductible
C
70% of reasonable charge
D
total amount of bill
6) The CPT-4 method of procedural coding became the procedural coding terminology of choice when
A
the AMA promoted it
B
the Medicare program used it as the first level of HCPCS
C
Blue Cross/Blue Shield adopted it
D
the states adopted it
7) Coordination of benefits is also known as
A
coinsurance
B
exclusions
C
assignment of insurance benefits
D
nonduplication of benefits
8) The CPT-4 coding system uses a main number to describe particular services. This main number uses a base of
A
six digits
B
three digits
C
four digits
D
five 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
CPT-4
B
HCPCS
C
Medicaid
D
ICD-9
10) How many levels are used in the Health Care Financing Administration Common Procedure Coding System (HCPCS)?
A
three
B
two
C
four
D
one
*select an answer for all questions
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