CCBMA Medical Billing and Coding

Question 1

Which coding system is used to report medical diagnoses on insurance claims in the United States?

Accepted Answer

ICD-10-CM

Answer

CPT

Answer

HCPCS Level II

Answer

DRG

Question 2

What does CPT stand for in medical billing?

Accepted Answer

Current Procedural Terminology

Answer

Comprehensive Patient Treatment

Answer

Clinical Payment Terms

Answer

Certified Provider Transactions

Question 3

Which of the following is an example of a clean claim?

Accepted Answer

A claim submitted with all required, accurate information and no errors

Answer

A claim submitted with missing patient date of birth

Answer

A claim with an unspecified diagnosis code

Answer

A claim submitted after the filing deadline

Question 4

What is the purpose of a superbill in a medical office?

Accepted Answer

To itemize services rendered and diagnostic codes for billing purposes

Answer

To track employee payroll

Answer

To request prior authorization from the insurance company

Answer

To document patient consent for treatment

Question 5

Which federal program provides health insurance primarily for patients aged 65 and older?

Accepted Answer

Medicare

Answer

Medicaid

Answer

CHIP

Answer

TRICARE

Question 6

What does the term 'coordination of benefits' mean in medical billing?

Accepted Answer

The process of determining which insurance plan pays first when a patient has multiple coverages

Answer

Determining which physician is the primary provider

Answer

Confirming patient eligibility with the payer

Answer

Submitting claims to multiple states simultaneously