ICD-9-CM is an abbreviation for which of the following?
A) International Classification of Disorders, Ninth Revision, Clinical Modification
B) International Classification of Diseases, Ninth Revision, Clinical Modification
C) International Classification of Diseases, Ninth Revision, Clinical Modifiers
D) International Classification of Diseases, Ninth Review, Clinical Modification
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Q. 2) When an insurance company denies a claim, who cannot appeal the decision?
A) the patient
B) the Insurance Commissioner
C) the provider or physician
D) both the patient and the provider
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Q. 3) What happens when an individual insurance company has had many complaints ruled against it?
A) The insurance company must write an aging letter to the state.
B) The company needs to appeal to Medicare.
C) A collection agency will be called.
D) The company will have a federal ruling against it.
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Q. 4) The ways a patient can pay his or her bill include all but
A) A promise to pay later
B) Cash
C) Credit card
D) Post dated check
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Q. 5) A provider should send several things to the insurance commissioner with the complaint, except
A) a printout of all documented correspondence
B) a privacy act advisory statement
C) a copy of the claim in question
D) a letter explaining the situation
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Q. 6) It is important to check the state's law for _____________________________
___ before submitting a claim with the state commissioner.
Fill in the blank(s) with correct word
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Q. 7) The ______________________ is a list of the payment amounts applied to an account when services are performed.
Fill in the blank(s) with correct word
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Q. 8) When taking a credit or debit card as payment, the medical biller needs to
A) Check the expiration date of the card.
B) Ask the patient about the credit limit.
C) Verify that the weight and height of the patient are correct.
D) Check for nonsufficient funds.
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Q. 9) The patient has a balance on their bill from four weeks ago. What is the first thing the medical biller should do?
A) Write the Department of Insurance
B) Email the Insurance Commissioner
C) Rebill the patient
D) Contact the collection agency
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Q. 10) The patient has insurance coverage. All the comments below are explanations or excuses for not paying except
A) I left my checkbook at home.
B) I will send a check later.
C) I can only cover my co-insurance today.
D) My credit card has expired.
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