CMAA Billing, Coding, and Claims 3

Question 1

What is Medicare's timely filing limit for initial claim submission?

Accepted Answer

365 days

Answer

90 days

Answer

180 days

Answer

30 days

Question 2

Which modifier indicates a procedure was performed bilaterally?

Accepted Answer

Modifier -50

Answer

Modifier -59

Answer

Modifier -25

Answer

Modifier -76

Question 3

What action should be taken when a claim is rejected at the clearinghouse level?

Accepted Answer

Correct the errors and resubmit

Answer

Wait for the insurance company to process it

Answer

Submit an appeal to the payer

Answer

Write off the balance

Question 4

In the revenue cycle, what does 'accounts receivable' refer to?

Accepted Answer

Money owed to the practice for services rendered

Answer

Money owed to vendors

Answer

Insurance premiums from employees

Answer

Monthly operating budget

Question 5

What is coordination of benefits (COB)?

Accepted Answer

Determining payment order when a patient has multiple insurance plans

Answer

Scheduling multiple procedures on the same day

Answer

Coordinating referrals between specialists

Answer

Verifying eligibility before services

Question 6

Which form is used to submit physician service claims to Medicare?

Accepted Answer

CMS-1500

Answer

UB-04 (CMS-1450)

Answer

ADA Dental Claim Form

Answer

Workers' Compensation First Report