When a person uses a title such as Sr., Jr., II, or III, __________.
a. always include it after entry of the person's last name on the CMS-1500 claim
b. do not enter it on the claim unless printed on the patient's insurance ID card
c. enter the title on the claim if instructed to do so by the patient or beneficiary
d. verify the use of the title with the patient or guarantor before entering on the claim
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Q. 2) When reporting procedures and services on the CMS-1500, list one procedure per line, starting with line one of Block 24 . To report more than six procedures or services for the same date of service, __________.
a. enter multiple codes on the same line in Block 24
b. generate a new claim to enter more procedures/services
c. increase the number of units entered in Block 24G
d. use the shaded lines in Block 24 of the first CMS-1500
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Q. 3) When completing the CMS-1500, enter a __________ for the dollar sign or decimal in all charges or totals and parentheses surrounding the area code in a telephone number.
a. dash
b. hyphen
c. period
d. space
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Q. 4) HIPAA regulations require all payers to accept __________ attachments.
a. electronic
b. encrypted
c. manual
d. paper
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Q. 5) Postoperative complications requiring a return to the operating room for surgery related to the original procedure are billed as an additional procedure, and the additional procedure is linked to __________.
a. a new diagnosis that describes the complication
b. an appropriate CPT or HCPCS level II modifier
c. the diagnosis as the reason for original surgery
d. surgical staff that performed the new procedure
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Q. 6) Surgeon's charges for inpatient and outpatient surgery are billed according to a global fee, which means that __________ cover(s) presurgical evaluation and management, initial and subsequent hospital visits, surgical procedure, the discharge visit, and uncomplicated postoperative follow-up care in the surgeon's office.
a. multiple charges
b. one charge
c. separate charges
d. unit-based charges
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Q. 7) Which occurs when a physician in the community refers a patient to the hospital for observation, bypassing the clinic or emergency department?
a. direct admission
b. emergency admission
c. outpatient admission
d. referred admission
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Q. 8) Hospital inpatient charges are reported on the __________ claim.
a. CMS-1500
b. UB-92
c. UB-02
d. UB-04
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Q. 9) Provider services for inpatient care are billed on a fee-for-service basis, and service results in a unique and separate charge designated by a __________ or HCPCS level II service/procedure code.
a. CPT
b. ICD-9-CM
c. ICD-10-CM
d. ICD-10-PCS
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Q. 10) Supplemental plans usually cover the deductible and copay or coinsurance of a primary health insurance policy. Which is the best known supplemental plan?
a. Medicaid
b. Medigap
c. Medicare
d. TRICARE
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