CMA Admin 4: Question Preview (ID: 591)

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A bill in never sent to the patient in which type of case?
a) Worker's Compensation
b) Medicare
c) Blue Cross/Blue Shield
d) Indemnity insurance plan

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) $32
b) $28
c) $30
d) an average

Blue Sheild makes direct payment to
a) physician members
b) all physicians
c) all policyholders
d) the hospital

Medicare forms must be signed by the
a) patient and the physician
b) physician only
c) patient only
d) patient and the medical assistant

The proportion of a patient's charge billed to Medicare Part B that will be paid is
a) 80% of the allowed charge minus a deductible
b) total amount of bill
c) 80%
d) 70% of reasonable charge

The CPT-4 method of procedural coding became the procedural coding terminology of choice when
a) the Medicare program used it as the first level of HCPCS
b) the AMA promoted it
c) the states adopted it
d) Blue Cross/Blue Shield adopted it

Coordination of benefits is also known as
a) nonduplication of benefits
b) exclusions
c) assignment of insurance benefits
d) coinsurance

The CPT-4 coding system uses a main number to describe particular services. This main number uses a base of
a) five digits
b) three digits
c) four digits
d) six digits

An insurance specialist coded a patient's diagnosis of acute appendicitis with the number 540.9. What system of coding was she using?
a) ICD-9
b) CPT-4
d) Medicaid

How many levels are used in the Health Care Financing Administration Common Procedure Coding System (HCPCS)?
a) three
b) two
c) one
d) four

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