#1
What does the term 'EOB' stand for in healthcare billing?
Estimated Out-of-Pocket Balance
Explanation of Benefits
Essential Order of Billing
Electronic Office Billing
#2
Which of the following is a common healthcare billing code system?
ICD-10-CM
ZIP Code
ISBN
DNA Sequence
#3
What does the term 'COB' refer to in healthcare billing?
Cost of Billing
Coverage of Benefits
Coordination of Benefits
Claim Obligation Balance
#4
Which entity typically issues a Remittance Advice (RA) in healthcare billing?
Healthcare provider
Patient
Insurance company
Government agency
#5
What is the purpose of a CMS-1500 form in healthcare billing?
To request prior authorization for medical procedures
To file a claim for reimbursement from insurance companies
To provide a summary of a patient's medical history
To schedule appointments with healthcare providers
#6
What is the purpose of the CPT code system in healthcare billing?
To identify diseases
To record patient demographics
To describe medical, surgical, and diagnostic services
To manage insurance policies
#7
What is a common method for healthcare organizations to check a patient's insurance eligibility?
Sending emails
Making phone calls
Faxing documents
Using online portals
#8
What is the purpose of a 'clean claim' in healthcare billing?
To indicate a claim with minimal charges
To signify a claim with correct information and no defects
To represent a claim that requires further documentation
To identify a claim for experimental treatments
#9
Which of the following is an example of a healthcare billing fraud?
Accurate reporting of services provided
Upcoding
Properly documenting patient information
Timely submission of claims
#10
What is the primary purpose of medical coding in healthcare billing?
To track patient appointments
To maintain inventory of medical supplies
To assign numeric codes to diagnoses and procedures
To calculate patient copayments
#11
What does 'RAC' stand for in the context of healthcare billing?
Reimbursement Analysis Center
Revenue Allocation Calculator
Recovery Audit Contractor
Refund Authorization Committee
#12
What does the term 'HIPAA' stand for in healthcare billing?
Health Information Processing and Analyzing Act
Healthcare Information Protection and Accountability Act
Health Insurance Portability and Accountability Act
Healthcare Information Privacy and Authorization Act
#13
What is a common method for healthcare organizations to verify patient identity?
Asking for a social security number
Requesting a driver's license
Scanning a fingerprint
Using facial recognition technology
#14
What is the purpose of a 'charge capture' process in healthcare billing?
To track patients' arrival times
To record services and procedures provided to patients
To manage patient appointments
To verify insurance coverage
#15
What is the purpose of a 'medical claim scrubber' software in healthcare billing?
To clean medical equipment
To process insurance claims electronically
To provide medical education to patients
To manage patient appointments