H08V EXAM 1 ANSWERS - ASHWORTH

H08V EXAM 1 ANSWERS - ASHWORTH

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H08V Medical Coding II Exam 1 Answers (Ashworth)

Question 1

5 / 5 points

If a patient isn’t being seen on an emergency basis, what should be entered in the EMG form locator?

Question options:

	a)  “No”
	b)  “–”
	c)  “N/A”
	d)  Nothing; leave it blank.
Question 2		5 / 5 points

A physician’s office just saw a new patient but can’t submit a claim to the patient’s insurance. Which one of the following choices might be a reason for this?

Question options:

	a)  The patient is the guarantor.
	b)  There’s no secondary insurance listed in the patient’s information.
	c)  The patient has no history with the physician’s office.
	d)  There’s no signature on file.
Question 3		5 / 5 points

Having a patient’s billing information available almost immediately after treating a patient is an advantage of

Question options:

	a)  EMCs.
	b)  HITECH.
	c)  CMS-1500.
	d)  OCR.
Question 4		5 / 5 points

You notice that a patient’s first name is misspelled on the CMS-1500 form. What should you do?

Question options:

	a)  Change it to the correct spelling immediately on the form.
	b)  Wait until the patient presents an insurance card with the correct spelling for verification.
	c)  Complete a Change of Name form and hold the bill until verified.
	d)  Provide an explanation attachment to the payer with the electronic claim.
Question 5		5 / 5 points

Jimmy is a 12-year-old boy who is seeing the doctor for a school checkup. He’s with his mom and his 18-year-old brother. Who is mostlikely the guarantor?

Question options:

	a)  Jimmy
	b)  Jimmy’s mom
	c)  Jimmy’s brother
	d)  Jimmy’s doctor
Question 6		5 / 5 points

Which one of the following choices is the correct way that an address would be entered on the CMS-1500?

Question options:

	a)  123 Maple Street Apartment A
	b)  123 Maple St, Apartment A.
	c)  123 Maple Street, #A
	d)  123 Maple St. Apt. A
Question 7		5 / 5 points

Jane Doe has insurance through her work but is also covered under her husband’s insurance. Her husband’s insurance may be referred to as the

Question options:

	a)  secondary insurance.
	b)  coordinating insurance.
	c)  primary coverage.
	d)  explanation of benefits.
Question 8		5 / 5 points

Patient Brown’s birthdate is January 1, 1964. How would this birthdate be entered on the CMS-1500?

Question options:

	a)  January 1, 1964
	b)  010164
	c)  1164
	d)  01011964
Question 9		5 / 5 points

Electronic transmission of information standards, such as transaction and code sets and uniform identifiers, are covered under

Question options:

	a)  administrative simplification.
	b)  HITECH.
	c)  CMS.
	d)  OCR.
Question 10		5 / 5 points

Jane K. Doe is the patient and the insured. What should be entered in form locator 4 on the CMS-1500?

Question options:

	a)  Jane K. Doe
	b)  Doe, Jane
	c)  Same
	d)  Patient
Question 11		5 / 5 points

A child lives with both of his parents and is covered under both of their insurance plans. How do you determine which insurance is the primary insurance?

Question options:

	a)  Refer to the COB.
	b)  Call the insurance carrier.
	c)  Use the birthday rule.
	d)  Look at form locator 32.
Question 12		5 / 5 points

Which one of the following choices may be cause for a claim to be marked as a dirty claim?

Question options:

	a)  The patient’s birthdate is missing.
	b)  The physician tried to knowingly bill for more than the service provided.
	c)  A claim attachment wasn’t submitted.
	d)  The physician didn’t comply with HITECH.
Question 13		5 / 5 points

When an insurance company is asked to send the payment directly to the physician instead of the patient, it’s referred to as

Question options:

	a)  release of information.
	b)  verification of benefits.
	c)  assignment of benefits.
	d)  the superbill.
Question 14		5 / 5 points

Which one of the following choices requires that those who transmit and store information electronically use a process of scrambling the information?

Question options:

	a)  HITECH
	b)  HIPAA
	c)  CMS
	d)  OCR
Question 15		5 / 5 points

Which one of the following choices is an advantage of EMCs?

Question options:

	a)  It increases the number of patients.
	b)  It decreases the chance of errors.
	c)  It increases payments for paper claims.
	d)  It decreases the number of insurance carriers billed.
Question 16		5 / 5 points

Which one of the following helps process paper records into an EHR?

Question options:

	a)  HIPAA
	b)  AMA
	c)  OCR
	d)  FECA
Question 17		5 / 5 points

You’re speaking with a patient’s insurance carrier who refuses to pay the claim even though the physician’s office provided all of the correct information. Which form could you refer to in the patient’s record?

Question options:

	a)  COB
	b)  VOB
	c)  FPN
	d)  GPN
Question 18		5 / 5 points

Which one of the following choices is ultimately responsible for paying for the healthcare services?

Question options:

	a)  Patient
	b)  Secondary insurance
	c)  Guarantor
	d)  Emergency contact
Question 19		5 / 5 points

Which one of the following individuals would use a FECA number when completing a CMS-1500?

Question options:

	a)  Government employee
	b)  Hospital employee
	c)  Student
	d)  Child
Question 20		5 / 5 points

A claim was rejected because the patient’s insurance number on the CMS-1500 was entered incorrectly. Which one of the following choices could help to prevent this type of error?

Question options:

	a)  Submit a claim with the FOB to the secondary carrier.
	b)  Photocopy the front and back of the insurance card.
	c)  Telephone the patient to gather the information.
	d)  Provide a CLIA on the NPI.