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BillingandCoding201

Medical Billing Final

Question	Answer
Medicare provides insurance for disabled individuals if they have received social security disability benefits for 24 months.	TRUE
NEVER CODE USING JUST ONE VOLUME OF THE ICD-9-CM.	TRUE
MEDICARE PROVIDES INSURANCE FOR DISABLED WORKERS OF ANY AGE.	TRUE
THE MEDICAID PATIENT MAY BE RESPONSIBLE FOR COPAYMENT.	TRUE
AN E CODE MAY NEVER BE SEQUENCED IN THE FIRST POSITION.	TRUE
NONPARTICIPATING PHYSICIANS HAVE AN OPTION REGARDING ACCEPTING ASSIGNMENT ON THE mEDICARE PATIENT.	TRUE
AUTHORIZATION TO TREAT A PATIENT WITH AN INDUSTRIAL INJURY MAY BE OBTAINED OVER THE TELEPHONE.	TRUE
DISABLED WORKERS YOUNGER THAN 65 YEARS OF AGE ARE ELIGIBLE FOR SSDI.	TRUE
CALIFORNIA ALLOWS FOR STATE DISABILITY BENEFITS IN A NORMAL ROUTINE PREGNANCY.	TRUE
A REASON FOR DENIAL OF DIABILITY INCOME BENEFITS IS INSUFFICIENT MEDICAL INFORMATION.	TRUE
ONE OF THE MOST IMPORTANT ITEMS ON STATE DISABILITY CLAIM FORM IS THE CLAIMANT'S SOCIAL SECURITY NUMBER.	TRUE
ALL PERSONS AGE 65 WHO MEET ELIGIBILITY REQUIREMENTS FOR MEDICARE RECIEVE MEDICARE PART B.	FALSE
UPDATED ICD-9 CODES MUST BE IN PLACE AND USED OCTOBER EACH YEAR.	FALSE
THE PATIENTS AUTHORIZED SIGNATURE IS NOT REQUIRED ON THE CMS-1500 CLAIM FORM FOR MEDICARE-MEDICAID CASES.	FALSE
V CODES SHOULD ALWAYS BE LISTED IN THE SECOND POSITION	FALSE
THE TIME LIMIT FOR SENDING IN MEDICARE CLAIMS IS THE END OF THE CALENDER YEAR IN WHICH PROFESSIONAL SSERVICES WERE PERFORMED.	FALSE
MINORS ARE NOT COVERED BY WORKERS COMPENSATION.	FALSE
DISABILITY INCOME INSURANCE PROVIDES BENEFITS FOR WORK-RELATED DISABLITITY.	FALSE
WORKERS' COMPENSATION BENEFITS ARE SUBJECT TO INCOME TAX	FALSE
DISABILITY INCOME POLICIES DO NOT PROVIDE MEDICAL EXPENSE BENEFITS.	FALSE
MEDICARE IS A...	FEDERAL HEALTH INSURANCE PROGRAM
PART A OF MEDICARE COVERS..	HOSPICE CARE
PART B OF MEDICARE COVERS..	DIAGNOSTIC TESTS
CONFIDENTIALITY IS AUTOMATICALLY WAIVED IN CASES OF..	GUNSHOT WOUNDS, CHILD ABUSE, EXTREMELY CONTAGIOUS DISEASES
IN HEALTH INSURANCE, THE INSURED IS ALSO KNOWN AS THE..	SUBSCRIBER, MEMBER, POLICYHOLDER
WHAT DOES COMORBIDITY MEAN?	UNDERLYING DISEASE OR OTHER CONDITIONS PRESENT AT THE TIME OF THE VISIT.
A PARTICIPATING PHYSICIAN WITH MEDICARE PLAN AGREES TO ACCEPT..	80% OF THE MEDICARE-APPROVED CHARGE
PARTS OF THE LOWER INTESTINES, RIGHT OVERY, RIGHT UTERINE TUBE, APPENDIX AND RIGHT UTERER ARE FOUND IN THE..	RIGHT LOWER QUADRANT
THE STATUES FOR WORKERS' COMPENSATION LAWS FALL UNDER..	FEDERAL AND STATE COMPENSTAION LAWS
AN ABNORMAL CONDITION CAUSED BY EXPOSURE TO ENVIORMENTAL FACTORS ASSOCIATED WITH EMPLOYMENT IS TERMED A/AN..	OCCUPATIONAL ILLNESS
IN MANY STATES WORKERS COMPENSATION LAWS HAVE EXEMPTIONS FOR CERTAIN OCCUPATIONS, SUCH AS..	DOMESTIC EMPLOYEES, BABYSITTERS, AND GARDENERS
THE SIMPILIST TYPE ON WORKERS COMPENSATION CLAIM IS..	NONDISABILITY
MEDICARE PART A IS RUN BY..	THE CENTERS OF MEDICARE AND MEDICAID SERVICES
IF YOU RECIEVE A REQUEST, ACCOMPANIED WITH THE CORRECT AUTHORIZATION, ASKING TO ABSTRACT MEDICAL INFORMATION FROM A PATIENTS MEDICAL RECORD..	SEND ONLY THE INFORMATION REQUESTED
MEDICARE PART A BENEFIT PERIOD ENDS WHEN A PATIENT..	HAS NOT BEEN A BED PATIENT IN ANY HOSPITAL OR NURSING FACILITY FOR 60 CONSECUTIVE DAYS
MEDICAID ELEIGIBILITY MUST ALWAYS BE CHECKED FOR THE..	MONTH OF SERVICE AND TYPE OF SERVICE
MEDIGAP INSURANCE MAY COVER..	THE DEDUCTIBLE NOT COVERED UNDER MEDICARE
IF A WORKER HAS A WORK-RELATED INJURY OR ILLNESS AND IS UNABLE TO PERFORM THE DUTIES OF HIS OR HER JOB FOR 2 MONTHS AND THEN RETURNS TO MODIFIED WORK FOR 1 MONTH BEFORE RETURNING TO FULL WORK, THE CLAIM IS REFERRED TO AS A/AN..	TEMPORARY DIABILITY CLAIM
IN A WORKERS COMPENSATION CASE. THE CONTRACT OF FINACIAL RESPONSIBILITY EXISTS BETWEEN..	THE PHYSICAIN AND THE INSURANCE COMPANY
WHEN A CASE IS RATED FOR PERMANENT DISABILITY AND SETTLED, THIS IS CALLED..	COMPROMISE AND RELEASE
WHO MAY ACCEPT A SUBPOENA?	THE PROSPECTIVE WITNESS AND AN AUTHORIZED PERSON
SOME SENIOR HMO'S MAY PROVIDE SERVICES NOT COVERED BY MEDICARE, SUCH AS..	EYEGLASSES AND PRESCRIPTION DRUGS
A PARTICIPATING PHYSICIAN WITH THE MEDICARE PLAN AGREES TO ACCEPT..	80% OF MEDICARE-APPROVED CHARGES
PHI MEANS?	PROTECTED HEALTH INFORMATION
OIG MEANS?	OFFICER OF INSPECTOR GENERAL
AN INDIVIDUALIZED PROGRAM OF THERAPY USING STIMULATED OR REAL WORK TASKS TO BUILD STRENGTH AND IMPROVE WORKER ENDURANCE TOWARD A FULL DAY'S WORK IS KNOWN AS..	WORK HARDENING
NAME THE CORRECT PROCEDURE FOR KEEPING AN INDUSTRIAL PATIENTS FINANCIAL AND HEALTH RECORDS WHEN THE SAME PHYSICIAN IS ALSO SEEING THE PATIENT AS A PRIVATE PATIENT?	SEPERATE FINANCIAL AND HEALTH RECORDS MUST BE USED
PAYMENTS TO HOSPITALS FOR MEDICIARE SERVICES ARE CLASSIFIED ACCORDING TO	DRGs
IN REGARDS TO HIPAA, PO STANDS FOR..	PRIVACY OFFICER
THE FORM THE CONTAINS AUTHORIZATION FOR THE PHYSICAIN TO TREAT AN INJURED EMPLOYEE IS THE..	MEDICAL SERVICE ORDER
DISABILITY INCOME INSURANCE IS AVAILABLE FROM..	ON THE FIRST OF EVERY MONTH
THE SOCIAL SECURITY ACT OF 1935	SET UP THE STATE MEDICAL PROGRAMS
THE HCPCS NATIONAL ALPHANUMERIC CODERS ARE REFERED TO AS..	LEVEL II CODERS
DISABILITY INCOME INSURANCE IS AVAILABLE FROM..	PRIVATE INSURANCE COMPANIES, EMPLOYER-SPONSERED PLANS, GOVERNMENT-FUNDED PROGRAMS
THE MEDICAID PROGRAM WAS DIRECT RESULT OF...	A LAW PASSED BY CONGRESS IN 1950
COVERAGE THAT PROVIDES SPECIFIC MONTHLY OR WEEKLY INCPME WHEN A PERSON IS UNABLE TO WORK BECAUSE OF AN ILLNESS OR INJURY IS KNOWN AS	DISABILITY INCOME INSURANCE
THE MAXIMUM AMOUNT OF TIME FOR WHICH BENEFITS WILL BE PAID TO THE INJURED OR ILL PERSOM FOR DISABILITY IS CALLED THE..	BENEFIT PERIOD
PATIENTS HAVE THE RIGHT TO VIEW THEIR MEDICAL RECORDS EXCEPT FOR	PSYCHOTHERAPY NOTES
DEFRA and CHAP were responsible for	EXPANDING MEDICAID ELIGIBILITY REQUIRMENTS
HIPAA STANDARD CODES WILL BE USED	TO REPLACE THE STANDARD CMS-1500 CODES
FORM 837P IS	A FORM THAT IS USED FOR ALL HIPAA CLAIMS AND IN ELECTRONIC FORMAT ONLY
GUARANTEED RENEWABLE MEANS THAT THE INSURER IS..	REQUIRED TO RENEW THE POLICIY AS LONG AS PREMIUM PAYMENTS ARE MADE, AND THE PREMIUM MAY BE INCREASED
STATE CHILDREN'S HEALTH INSURANCE PROGRAMS	OPERATE WITH FEDERAL GRANT SUPPORT UNDER TITLE V OF THE SOCIAL SECURITY ACT
WHAT ARE THE TWO PROGRAMS THAT THE SSA MANAGES THAT PAY MONTHLY DISABLILITY BENEFITS TO PEOPLE YOUNGER THAN AGE 65 WHO CANNOT WORK FOR AT LEAST A YEAR BECAUSE OF SEVERE DISABILITY?	SSDI AND SSI
THE OMNIBUS BUDUGET RECONCILIATION ACT	PROVIDES ASSISSTANCE FOR THE AGED AND DISABLED WHO ARE RECIEVEING MEDICARE AND WHOSE INCOME ARE BELOW POVERTY LEVEL
MEDICAID IS AVAILABLE TO NEEDY AND LOW INCOME PEOPLE SUCH AS	THE BLIND, DISABLED, AGED 65 OR OLDER
MIP STANDS FOR	MEDICARE INTEGRITY PROGRAM
IF A PHYSICIAN ACCEPTS MEDICAID PATIENTS, THE PHYSICIAN MUST ACCEPT	THE MEDICAID-ALLOWED AMOUNT
MEDICAID MANAGED CARE PATIENT CLAIMS SHOULD BE SENT TO..	MANAGED CARE ORGINIZATION AND NOT THE MEDICAID FISCAL AGENT
THE ARMED SERVICES DISABILITY BENEFITS PROGRAM IS AVAILABLE TO..	MEMBERS OF THE ARMED FORCES ON ACTIVE DUTY
THE SUPPLEMENTAL SECURITY INCOME PROGRAM UNDER TITLE XVI SOCIAL SECURITY ACT PROVIDES..	DISABILITY PAYMENTS TO NEEDY PEOPLE WITH LIMITED INCOME AND FEW RESOURCES

Created by: myrose622

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