The phrase referring to UCR provider services is:
a. claim determination.
b. allowable expenses.
c. explanation of benefits.
d. group plan.
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Q. 2) If all fields of a CMS-1500 are not completed correctly, the claim:
a. will be denied.
b. will be returned.
c. will be filed.
d. will be processed.
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Q. 3) Electronic claims billing systems are required to be compatible with new billing formats for the ICD-10 conversion by:
a. 2012.
b. 2013.
c. 2014.
d. 2011.
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Q. 4) OCR is a scanner that drops out ________.
a. special red ink on claim forms
b. any red ink
c. any red laser printing
d. any highlighting
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Q. 5) The HIPAA-related act covering electronic claims attachments is:
a. AAPC.
b. ASCA.
c. HIPAA2.
d. AARP.
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Q. 6) Once the medical biller has ascertained the reason for a rejected claim, he or she:
a. fixes the errors and resubmits the claim.
b. resubmits the claim.
c. sends the claim to the research department.
d. shreds the acknowledgement receipt.
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Q. 7) Once an insurance company sends an acknowledgement of claims receipt, the biller checks for:
a. rejected claims.
b. rejected claim reasons.
c. accepted claims.
d. accepted claims reasons.
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Q. 8) For how many years following finalization of a rule on electronic claims attachments will the health care industry have to be compliant?
a. 1
b. 3
c. 4
d. 2
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Q. 9) At what frequency are electronic claims submitted?
a. Daily
b. Weekly
c. Monthly
d. Quarterly
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Q. 10) When a medical biller submits insurance claims electronically, how does he or she know the insurance company received the bills?
a. Return receipt
b. Report from insurance company
c. By making a phone inquiry
d. Receiving a receipt via fax
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