Navigation » List of Schools » Glendale Community College » Medical Office Administration » MOA 183 – Medical Billing and Coding » Fall 2020 » Exam 3
Below are the questions for the exam with the choices of answers:
Question #1
A disabled adults.
B families that need temporary assistance.
C children with disabilities
D immigrants.
Question #2
A per case care management.
B primary care case management.
C preventive care case management.
D primary coverage and care management.
Question #3
A through a per-diem rate.
B based on the Medicare fee schedule.
C using a scale based on the beneficiary’s annual income.
D through contracts with managed care organizations.
Question #4
A physician office visits.
B hospital services.
C preventive care services.
D family planning services.
Question #5
A UB-04 claim form.
B Medicaid claim form.
C Title XIX claim form.
D CMS-1500 claim form.
Question #6
A transportation services.
B optometrist services and eyeglasses.
C acupuncture for pain relief.
D rehabilitation services.
Question #7
A Coinsurance
B Deductibles
C All of these
D Copayments
Question #8
A nation.
B city.
C state.
D county.
Question #9
A pregnant women.
B the elderly.
C the disabled.
D the blind.
Question #10
A Medicaid begins paying for services.
B a deductible is paid.
C a coinsurance amount applies.
D Medicare begins paying for services.
Question #11
A All of these
B the categorically needy.
C special groups.
D the medically needy.
Question #12
A private insurance.
B Medicare.
C individuals.
D Medicaid.
Question #13
A FALSE
B TRUE
Question #14
A FALSE
B TRUE
Question #15
A FALSE
B TRUE
Question #16
A TRUE
B FALSE
Question #17
A The patient’s injury or condition is covered by workers’ compensation.
B The patient has group health insurance through a working spouse.
C The patient works for an employer with 20 or fewer employees.
D The patient’s condition is the result of an automobile accident.
Question #18
A They are required to file Medicare claims on behalf of Medicare patients.
B They have access to beneficiary eligibility information.
C They receive 10% lower fees for services than participating providers.
D They receive 15% lower fees for services than participating providers.
Question #19
A 20%
B 25%
C 30%
D 15%
Question #20
A Capitation
B Sliding scale
C Per diem
D Fee-for-service
Question #21
A Acupuncture
B Dental care
C Physical therapy
D Routine eye care
Question #22
A a second opinion has been obtained before the surgery.
B the patient has not exceeded his or her Part A benefit limit.
C services are performed in a hospital that is an approved Medicare provider.
D an in-home caregiver will be available to care for the patient after surgery.
Question #23
A inpatient respite care.
B short-term hospital care.
C in-home care.
D All of these.
Question #24
A 30 days of hospital care.
B 90 days of hospital care.
C unlimited days of hospital care if medically necessary.
D 60 days of hospital care.
Question #25
A intermediaries.
B contractors.
C administrators.
D carriers.
Question #26
A Medicare Part D.
B Medicare Part A.
C Medicare Advantage (MA).
D Medicare Part B.
Question #27
A FALSE
B TRUE
Question #28
A TRUE
B FALSE
Question #29
A hospice care.
B terminal care.
C critical care.
D home healthcare.
Question #30
A admission source codes.
B admission type codes.
C discharge status codes.
D condition codes.
Question #31
A Code 00
B Code 99
C It would be left blank.
D It would be noted as “unknown.”
Question #32
A 2
B 1
C F
D M
Question #33
A first digit.
B second digit.
C fourth digit.
D third digit.
Question #34
A comorbidity.
B complication.
C chronic condition.
D exacerbation.
Question #35
A attending physician.
B rendering physician.
C admitting physician.
D primary care physician.
Question #36
A a particular organ system.
B number of diagnoses.
C age of the patient.
D health status of the patient.
Question #37
A procedures.
B usual fees.
C number of days.
D diagnoses.
Question #38
A 14 days following discharge.
B 30 days following admittance.
C 7 days following admittance.
D 1—2 days following discharge.
Question #39
A FALSE
B TRUE
Question #40
A Employer Identifier for National Coverage.
B Examination Indicates Nothing.
C Estimated Insurance Number for payment.
D Employer Identification Number.
Question #41
A the National Preferred Identifier for clearinghouses must be entered.
B a condition was Not Present or Indicated upon examination.
C the National Provider Identifier must be entered.
D the National Health Plan Identifier must be entered.
Question #42
A uniform identifiers.
B privacy and security rules.
C transaction and code sets.
D compliance and auditing guidelines.
Question #43
A amount paid.
B total charges.
C patient’s account number.
D physician’s federal tax ID number.
Question #44
A only Plan A will pay for her benefits.
B Plan B will pay all of the benefits.
C Plan B is primary, and Plan A is secondary.
D Plan A is primary, and Plan B is secondary.
Question #45
A dirty claim.
B erroneous claim.
C clean claim.
D incomplete claim
Question #46
A the Internal Revenue Service (IRS).
B insurance carriers.
C the Centers for Medicare and Medicaid Services (CMS).
D the Health Insurance Portability and Accountability Act (HIPAA).
Question #47
A independent auditing firm.
B third-party administrator.
C billing service.
D clearinghouse.
Question #48
A Verification of benefits form
B UB-04 claim form
C Superbill
D CMS-1500 claim form
Question #49
A release of information form.
B assignment of benefits form.
C patient information form.
D explanation of benefits form.
Question #50
A accept assignment is checked.
B the diagnosis code does not match the CPT code.
C patient’s insurance number is incorrect.
D date of last menstrual period (LMP) is missing.