Exercise 1-9 Final Exam

1. The information for Blocks 1–9 on the CMS-1500 can be obtained from the
A. ledger card.
B. medical treatment record.
C. confidential patient information record.
D. fee schedule.
2. If a patient is covered by Medicaid, what should you put in
Block #9a?
A. Nothing
B. The 12-digit Medicaid number
C. The policy number of other coverage, if any
D. The patient’s social security number
Lessons 2 and 3
Insurance Form Preparation
Exam 2
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3. If both nondivorced parents of a dependent child have insurance that will cover the child, which policy is considered to be the primary carrier for the child?
A. The mother’s insurance
B. The father’s insurance
C. The coverage that has been in effect longer
D. The coverage of the parent whose birthday falls earlier in the year
4. As an employee at Medical & Dental Associates, how much should you charge for comprehensive service for an established patient?
A. $48 C. $72
B. $55 D. $90
5. A type of insurance that was designed to meet the needs of senior citizens is
A. Medicare. C. CHAMPUS.
B. Medicaid. D. SSI.
6. CHAMPVA would be considered a primary payer for a patient who has _______ coverage.
A. Medicaid C. Medicare
B. fee-for-service D. SSI
7. You should record payments that are received from insurance companies on
At the very top right of the form C. In Block #5
B. On the EOB D. In Block #9d
9. Suppose that your office has submitted a claim for $800 to Medicare. The amount approved by Medicare for this claim is $625. How much will your office actually receive from Medicare?
A. $175 C. $625
B. $500 D. $800
10. When should you submit a claim to a secondary insurance company?
A. When a primary insurance company returns a claim for correction
B. When the patient authorizes you to do so
C. At the same time you submit the claim to the primary carrier
D. After you receive payment from the primary insurance company
11. If the patient in Question 9 has only Medicare coverage, your office will have to bill the patient for the amount of
A. $125. C. $300.
B. $175. D. $625.
12. When you’re completing a CMS-1500 form for a fee-for-service insurance company, you should omit the patient’s telephone number because
A. a patient’s phone number is confidential information.
B. the insurance company will already have the patient’s number.
C. the insurance company shouldn’t contact the patient directly by phone.
D. the phone number creates problems for scanners.
13. Most of the laws that govern Medicaid coverage are set