Claims are classified as to their status upon submission to an insurance carrier as clean, dirty, incomplete, rejected, or _______.
A) questionable
B) pending
C) complete
D) incorrect
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Q. 2) A copy of ____ must be sent with a secondary claim in order to process the claim.
A) Discharge Summary
B) OP note
C) Remittance Advice
D) Original claim form
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Q. 3) Which of the following is not a method of reimbursement:
A) fee-for-service.
B) waiver of liability.
C) capitation.
D) episode-of-care.
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Q. 4) ____ is the specified dollar amount the patient must pay the provider for each visit.
A) Coinsurance
B) Copayment
C) Charge
D) Deductible
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Q. 5) Medicare Part A covers ambulatory encounters in physician offices, physical therapy, ambulance services, etc.
Indicate whether the statement is true or false
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Q. 6) A patient whose Medicare claim number ends with A will have the same social security number and claim number.
Indicate whether the statement is true or false
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Q. 7) Medicare is a secondary payer when the patient is also covered by a working spouse's insurance.
Indicate whether the statement is true or false
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Q. 8) An incentive to physicians to participate with Medicare is faster claims payment.
Indicate whether the statement is true or false
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Q. 9) Advanced Beneficiary Notices (ABN) are strictly for use with Medicare patients when a service may not be considered medically necessary.
Indicate whether the statement is true or false
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Q. 10) Elective surgery is defined by _______ as a nonemergency surgery or procedure that can be scheduled in advance, is not considered life-threatening, and would not result in death or permanent impairment of health if delayed.
Fill in the blank(s) with correct word
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