The RBRVS system unit of measurement assigned to a service based on the relative skill and time required to perform it is the __________ unit.
Fill in the blank with correct word.
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Q. 2) Negative adjustments will__________ the balance, while positive adjustments will __________ the balance on a patient account.
Fill in the blank with correct word.
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Q. 3) The first step that the medical office specialist is responsible for before submitting a medical claim is:
verifying patient insurance benefits.
obtaining correct and complete patient information.
entering patient information data into the computer.
posting charges.
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Q. 4) What is SOAP?
What will be an ideal response?
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Q. 5) The TRICARE plan option that provides benefits using a fee-for-service, cost-sharing structure is:
TRICARE Standard.
TRICARE Extra.
TRICARE Prime.
CHAMPVA.
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Q. 6) Medicare is considered the primary payer when an individual age 65 or older:
is eligible for coverage through the Veteran's Administration.
receives treatment for an accident-related claim.
fails to apply for end-stage renal disease (ESRD)-based coverage.
is covered by another policy that is NOT a group policy.
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Q. 7) If the services provided are NOT appropriate in light of the diagnosis and the claim is denied, a telephone appeal can resolve the situation.
Indicate whether this statement is true or false.
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Q. 8) Under the access standards for TRICARE Prime enrollees, appointment wait time for urgent care should NOT exceed:
24 hours.
48 hours.
72 hours.
7 days.
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Q. 9) OPPS stands for:
Outpatient Payment for Preventive Services.
Outpatient Prospective Payment System.
Optimal Payment for Procedures and Services.
Other Payments for Procedures and Services.
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Q. 10) In some states, a spend-down program requires that individuals must spend a portion of their income or resources each month on medical expenses before:
Medicare begins paying for services.
Medicaid begins paying for services.
a deductible is paid.
a coinsurance amount applies.
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