RMA Medical Billing and Coding

Question 1

Which coding system is used to report physician and outpatient procedures and services to insurance carriers?

Accepted Answer

CPT

Answer

Current Procedural Terminology (CPT) codes are used to report medical, surgical, and diagnostic procedures and services performed by physicians and other healthcare providers.

Question 2

What does the term 'EOB' stand for in medical billing?

Accepted Answer

Explanation of Benefits

Answer

EOB stands for Explanation of Benefits, which is a document sent by the insurance company to the patient and/or provider explaining what was covered and paid for a claim.

Question 3

Which ICD-10-CM code type is used when a definitive diagnosis has not yet been established?

Accepted Answer

Symptom codes

Answer

When a definitive diagnosis has not been established, symptom or sign codes from ICD-10-CM are used to describe the patient's presenting complaint.

Question 4

What is a superbill in medical practice?

Accepted Answer

A detailed itemized list of services provided during a visit used for billing

Answer

A superbill is a comprehensive encounter form that lists all diagnoses, procedures, and charges for a patient visit and is used to generate insurance claims.

Question 5

Which form is used to submit claims to Medicare Part B?

Accepted Answer

CMS-1500

Answer

The CMS-1500 form is the standard paper claim form used by non-institutional providers (such as physician offices) to bill Medicare Part B and most other payers.

RMA Practice Test

RMA Practice Test

RMA Medical Billing and Coding