Study Guide

Question 1

What will the insurance specialist use to collect overdue accounts from patients?

Answer 1

Patient Aging Report

Question 2

Which report includes all patients and summarizes all charges and payments for a single date?

Answer 2

Day sheet

Question 3

Which payment system is used by Medicare and many other payers?

Answer 3

RBRVS

Question 4

When a patient with an HMO is referred to a specialist, a referral letter is sent addressed to the physician in what format?

Answer 4

David Johnson, M.D.

Question 5

Which is formation of a blood clot in an artery of the brain?

Answer 5

Cerebral Thrombosis

Question 6

Which reimbursement payment method is based on a group of physicians within a geographic area?

Answer 6

UCR

Question 7

To verify a diagnosis code, which section of the ICD-10-CM Coding manual is used?

Answer 7

Volume 1 Tabular List

Question 8

What covers a Medicare patient for a physician’s services?

Answer 8

Part B

Question 9

Which is a patient bill that includes dates of service, services provided, charges and what the patient owes to the practice?

Answer 9

Statement

Question 10

Where might an insurance specialist find Medicare’s rules and regulations published?

Answer 10

Federal Register

Question 11

What entity is responsible for developing HCPCS codes?

Answer 11

CMS