MCBC Medcert Practice Exam

41 Medical Ьilling employees should Ье аЫе to perform а variety of administrative duties pertaining to the business office. Your Answer True Correct Answer True Explanation Correct Answer: True (Lessons 1, 3-9) Objective 2 - Claims Processing 42 What is the total number of modifiers that сап Ье indicated оп the CMS-1500 form? Your Answer 4 Correct Answer 4 Explanation Correct Answer: 4 (Lessons З, 16-18) CBCS Core Knowledge 43 Which of these must Ье obtained Ьу the patient prior to the provider rendering medical treatment? Your Answer Consent Correct Answer Consent Explanation Correct Answer: Consent (Lesson 2) Objective 4 - Payment Adjudication 44 lf а Medicare patient wants а procedure that is а non-covered benefit, what form do they need to sign that indicates they are aware it is not covered? Your Answer Advanced Beneficiary Notice Correct Answer Advanced Beneficiary Notice Explanation Correct Answer: Advanced Beneficiary Notice (Lessons 15-17) Human Anatomy & Medical Terminology 45 Which term refers to the muscular wall of the heart? Your Answer Myocardium Correct Answer Myocardium Explanation Correct Answer: Myocardium (Lesson 11) Objective 5 - Applying Knowledge for Coding 46 What organization manages and updates СРТ changes? Your Answer АМА Correct Answer АМА Explanation Correct Answer: АМА (Lessons 2, 12-15) Objective 1 - Regulatory Compliance 47 Which ofthese limits access to patient information based оп the user's position in ап organization? Your Answer Role-based access Correct Answer Role-based access Explanation Correct Answer: Role-based access (Lessons 1, 2, 1 О, 11) Human Anatomy & Medical Terminology 48 The lining between the lungs and the ribs is which of these? Your Answer Pleura Correct Answer Pleura Explanation Correct Answer: Pleura (Human Anatomy & Medical Terminology Lesson 7) Objective 4 - Payment Adjudication 49 When downcoding occurs, payment will ____. Your Answer Ве less Correct Answer Ве less Explanation Correct Answer: Ве less (Lessons 15-17) Objective 3 - Front End Duties 50 Which part of Medicare covers prescription drugs? Your Answer Part D Correct Answer Part D Explanation Correct Answer: Part D (Lessons 1, 3-9) Objective 5 - Applying Knowledge for Coding 51 Which of the following modifiers would Ье indicated if there are two primary surgeons оп а procedure? Your Answer -80 Correct Answer -62 Explanation Correct Answer: -62 (Lessons 2, 12-15) Objective 4 - Payment Adjudication 52 Which of the following relates to electronic payments? Your Answer EDI Correct Answer ERA Explanation Correct Answer: ERA (Lessons 15-17) 53 Which of these is the result of а claim that is submitted electronically with ап old insurance policy number? Your Answer Denial Correct Answer Denial Explanation Correct Answer: Denial (Lessons 15-17) Objective 5 - Applying Knowledge for Coding 54 An inventory of body systems for which the patient complains of signs and symptoms is called ___. Your Answer HPI Correct Answer ROS Explanation Correct Answer: ROS (Lessons 2, 12-15) Objective 3 - Front End Duties 55 Some senior HMOs may provide services not covered Ьу Medicare, such as ____. Your Answer Eyeglasses and prescription drugs Correct Answer Eyeglasses and prescription drugs Explanation Correct Answer: Eyeglasses and prescription drugs (Lessons 1, 3-9) 56 When ап НМО is paid а fixed amount for each patient served without considering the actual number or nature of services provided to each person, this is known as ____ . Your Answer Capitation Correct Answer Capitation Explanation Correct Answer: Capitation (Lessons 1, 3-9) CBCS Core Knowledge 57 When an error has occurred entering notes in medical record and the record has already been saved, how can it Ье corrected? Your Answer Call the IT department to delete it Correct Answer An addendum to the record should indicate the error and the correction Explanation Correct Answer: An addendum to the record should indicate the error and the correction Objective 2 - Claims Processing 58 An outside service facility, such as а lab, would Ье indicated in which Ыосk on the CMS-1500 Claim? Your Answer 17 Correct Answer 32 Explanation Correct Answer: 32 (Lessons 3, 16-18) Objective 3 - Front End Duties 59 The insured may not necessarily Ье the patient seen for the medical service. Your Answer True Correct Answer True Explanation Correct Answer: True (Lessons 1, 3-9) Objective 2 - Claims Processing 60 А clearinghouse is ___. Your Answer An entity that receives transmission of insurance claims, separates the claims, and sends each one electronically to the correct insurance payer Correct Answer An entity that receives transmission of insurance claims, separates the claims, and sends each one electronically to the correct insurance payer Explanation Correct Answer: An entity that receives transmission of insurance claims, separates the claims, and sends each one electronically to the correct insurance payer (Lessons з, 16-18)