FREE Medical Billing General Question and Answers

Question 1

What is the acronym of Early and Periodic Screenings-Diagnosis-and Treatment?

Accepted Answer

EPSDT

Answer

Collection Ratio

Answer

V.I. Payment

Answer

Electronic Claim

Question 2

Maggie visits the chiropractor once every week and has Medicaid. Maggie is told by the chiropractor that she must pay a $25 copay for each visit even though she has Medicaid. There is no copay on Marge's insurance card. When Maggie questions the billing office, they inform her that her insurance only pays $17 for each chiropractic visit and that it would be cheaper for her to pay the $25 out-of-pocket. In accordance with Medicaid rules:

Accepted Answer

It is illegal to bill Medicaid patients without signed consent.

Answer

Maggie should ask to pay $17 per visit.

Answer

it is illegal to bill Medicaid patients before billing Medicaid first.

Answer

Maggie should call Medicaid to see if her copay has changed.

Question 3

The time frame for filing a claim with Medicare is:

Accepted Answer

365 days

Answer

120 days

Answer

90 days

Answer

180 days

Question 4

A test costs $400 and is provided. The patient is responsible for $23.56 while the insurance company pays $300. What are the terms for the contractual discount and the patient's obligation?

Accepted Answer

$76.44, coinsurance

Answer

$100, copay

Answer

$76.44, copay

Answer

$100, coinsurance

Question 5

The sum an insurance provider is charged for services:

Accepted Answer

Each procedure must have a set cost for all insurance companies.

Answer

can vary based on how difficult the operation was

Answer

varies based on the amount that the insurance pays out for that procedure.

Answer

Must be a predetermined sum for each specific insurance provider.

Question 6

When a patient calls, they request a copy of their most recent visit's chart. How soon must you provide them with their records?

Accepted Answer

30 days

Answer

7 days

Answer

5 days

Answer

10 days

Question 7

What distinctions exist between inpatient and pro-fee coding in terms of how they are paid for?

Accepted Answer

The inpatient is compensated by IPPS for ICD-10 CMs that are classed as DRGs and uses ICD-10 PCS. Pro-fee is reimbursed on a fee schedule for CPT codes and uses ICD-10 CM diagnosis codes.

Answer

Inpatient is reimbursed by ICD-10 PCS and uses ICD-10 CM diagnosis codes, while Pro-fee is reimbursed according to a fee schedule for CPT codes.

Answer

Pro-fee reimbursement is based on an ICD-10 CM fee structure and uses HCPCS, whereas inpatient reimbursement is based on IPPS and uses ICD-10 PCS diagnostic codes.

Answer

Inpatient care is compensated by CPT codes through IPPS and uses ICD-10 CM diagnostic codes, while pro-fee services are paid according to a fee schedule for CPT codes.