#1
Which organization oversees the coding system used for healthcare billing?
#2
What does CPT stand for in healthcare billing?
Current Procedural Technology
Common Procedure Terminology
Clinical Procedure Technology
Coding and Procedure Taxonomy
#3
What is the primary purpose of healthcare reimbursement?
To compensate healthcare providers for services rendered
To maximize profits for insurance companies
To regulate healthcare costs
To increase administrative burden
#4
Which government program provides healthcare coverage for individuals aged 65 and older in the United States?
#5
What is the role of a medical coder in healthcare billing?
To perform surgeries
To interpret medical charts
To manage patient appointments
To administer medications
#6
Which organization is responsible for administering Medicaid in the United States?
#7
Which of the following is NOT a common type of healthcare reimbursement?
Fee-for-Service
Capitation
Bundled Payments
Franchise Payments
#8
What is the purpose of ICD codes in healthcare billing?
To identify medical diagnoses and procedures
To bill insurance companies
To schedule appointments
To manage patient records
#9
What is the purpose of a revenue cycle in healthcare billing?
To manage patient appointments
To track patient outcomes
To optimize financial processes
To schedule surgeries
#10
Which of the following is NOT a characteristic of a clean claim?
Complete
Accurate
Timely
High reimbursement rate
#11
What is the purpose of a UB-04 form in healthcare billing?
To bill professional services
To bill facility services
To document patient demographics
To record medication administration
#12
Which of the following is a characteristic of value-based reimbursement?
Providers are paid based on the volume of services provided
Providers are reimbursed at a fixed rate for each service
Providers are financially incentivized for positive patient outcomes
Patients are responsible for paying the entire healthcare bill
#13
In healthcare billing, what does the term 'EOB' stand for?
Explanation of Benefits
Estimated Out-of-Pocket Bill
Electronic Order Billing
End of Billing
#14
What is the purpose of a remittance advice in healthcare billing?
To inform patients of upcoming appointments
To communicate claim denials or payments
To schedule follow-up procedures
To request additional medical records
#15
What is the difference between ICD and CPT codes in healthcare billing?
ICD codes are for procedures, CPT codes are for diagnoses
ICD codes are numeric, CPT codes are alphanumeric
ICD codes are used for international billing, CPT codes are used in the U.S.
ICD codes are more specific than CPT codes
#16
What does the term 'RAC' stand for in the context of healthcare billing?
Reimbursement Adjustment Coordinator
Revenue Assessment Committee
Recovery Audit Contractor
Resource Allocation Committee
#17
What is the purpose of the HIPAA 837 form in healthcare billing?
To request prior authorization for medical procedures
To submit electronic claims to insurance companies
To request reimbursement for medical supplies
To report healthcare fraud and abuse
#18
What is the primary purpose of the National Correct Coding Initiative (NCCI) in healthcare billing?
To prevent fraud and abuse
To provide free healthcare services
To regulate insurance premiums
To establish coding guidelines to prevent improper payments