Administrative Exam Quiz #24

Question 1

Term for an insurance claim for a Medicare and medical patient

Answer 1

Crossover

Question 2

Type of insurance for work related injuries

Answer 2

Workers compensation

Question 3

Insurance claims which have a greater chance for rejection

Answer 3

Paper claims

Question 4

Addition to a procedure code which indicates special circumstances

Answer 4

Modifier

Question 5

A policy which supplements Medicare coverage

Answer 5

Medi gap

Question 6

Insurance coverage for military dependents

Answer 6

Tricare /CHAMPUS

Question 7

The universal claim form is called

Answer 7

CMS-1500

Question 8

An insurance claim with incomplete information will be

Answer 8

Rejected

Question 9

Monthly fee a provider is paid for each covered patient

Answer 9

Capitation

Question 10

Insurance company statement of how a claim is settled

Answer 10

Explanation of benefits

Question 11

Billing for services the physician did not perform

Answer 11

Fraud

Question 12

A procedure code followed by the modifier -99 indicates

Answer 12

Multiple modifiers

Question 13

Insurance claims which shorten the payment cycle

Answer 13

Electronic claims

Question 14

Term for an insurance form that has been filled out correctly

Answer 14

Clean claim

Question 15

Patient addresses and billing information should be updated

Answer 15

At each visit

Question 16

Insurance claims require the patient to sign what to release information?

Answer 16

Authorization

Question 17

An assignment of benefits form allows the insurance company to?

Answer 17

Pay the provider

Question 18

Federal law protecting privacy of health insurance information

Answer 18

HIPPA

Question 19

Medicare supplement to the CPT procedure codes

Answer 19

HCPCS codes

Question 20

Federal insurance program for elderly persons or persons with permanent disabilities

Answer 20

Medicare