#1
What is the primary goal of medical billing?
Facilitating insurance claims processing
ExplanationStreamlining insurance claims processing.
#2
What role does a medical coder play in the billing process?
Assigning diagnostic and procedure codes
ExplanationAssigning diagnostic and procedure codes.
#3
What is the purpose of a remittance advice in the medical billing process?
Explaining reasons for claim denial
ExplanationDetailing reasons for claim denial.
#4
What role does a medical billing specialist play in the healthcare industry?
Processing insurance claims and managing accounts receivable
ExplanationManaging insurance claims and receivables.
#5
In medical billing, what is the purpose of a Superbill?
To document services provided during a patient visit
ExplanationRecording services during a patient visit.
#6
Which of the following is a common code set used in medical billing for procedures and services?
CPT
ExplanationCommon code set for medical procedures and services.
#7
What is the purpose of a clearinghouse in the medical billing process?
To communicate between healthcare providers and insurers
ExplanationFacilitating communication between providers and insurers.
#8
Which entity is responsible for overseeing the Health Insurance Portability and Accountability Act (HIPAA) compliance in healthcare?
Department of Health and Human Services (HHS)
ExplanationGovernment body overseeing HIPAA compliance.
#9
What is the purpose of the Explanation of Benefits (EOB) statement in medical billing?
Explaining the reasons for claim denial
ExplanationDetailing reasons for claim denial.
#10
Which government program provides healthcare coverage to individuals aged 65 and older in the United States?
Medicare
ExplanationHealthcare coverage for seniors in the US.
#11
In accounts receivable, what does the term 'aging' refer to?
Classifying unpaid invoices by their due dates
ExplanationOrganizing unpaid invoices by due dates.
#12
What is a common method for managing denials in medical billing?
Appealing denied claims with additional documentation
ExplanationAppealing denials with more documentation.
#13
In the context of medical billing, what does the term 'revenue cycle' refer to?
The process of billing and collecting payments
ExplanationBilling and payment collection process.
#14
What is the primary purpose of a National Provider Identifier (NPI) in healthcare?
Identifying healthcare providers in electronic transactions
ExplanationIdentifying providers in electronic transactions.
#15
What is a common method for healthcare providers to improve accounts receivable turnover?
Implementing effective denial management processes
ExplanationEnhancing denial management processes.