If the level of risk of mortality is very high, the medical decision making would be considered:
minimal.
low.
moderate.
high.
(
Q. 2) When appealing a denial made because the carrier doesn't believe the services were medically necessary, the medical office assistant should include information:
from the patient's medical record.
about payment from other carriers in similar cases.
about the physician's time spent with the patient.
about the patient's benefit plan.
(
Q. 3) Medicare Part B covers:
annual physical examinations.
prescription drugs.
acupuncture.
custodial care.
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Q. 4) Using the SOAP format, the patient's chief complaint and reason for the encounter as the patient told it to the doctor are:
subjective information.
objective information.
assessment information.
the plan.
(
Q. 5) Wrongfully keeping an overpayment is illegal and is called:
conversion.
retention.
fraud.
embezzlement.
(
Q. 6) The TRICARE program covers active-duty service members, retirees, family members, and survivors of eligible armed services members.
Indicate whether this statement is true or false.
(
Q. 7) During the patient's care, all procedures and tests are documented on the:
encounter form.
explanation of benefits.
claim form.
registration form.
(
Q. 8) Mandatory Medicaid services include coverage for:
early and periodic screening, diagnostic, and treatment services for children younger than age 21.
physical therapy services.
prescribed drugs.
transportation services.
(
Q. 9) Individuals eligible for Medicare may be classified into one or more of the following categories EXCEPT:
age 65 or older.
disabled.
low income.
end-stage renal disease (ESRD).
(
Q. 10) Physicians must file a Medicare appeal with an administrative law judge within:
30 days.
60 days.
90 days.
120 days.
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