Monday
September 22, 2014

Homework Help: Insurance Forms

Posted by BB on Tuesday, March 15, 2011 at 4:09pm.

I need help with a few questions. Could you let me know if I'm going in the right direction.

1- CHAMPVA would be considered a primary payer for a patient who has ______ coverage.
A- Medicaid
B- fee-for-service
C- Medicare
D- SSI

Answer: A

2- You should record payments that are received from insurance companies on the
A- confidential patient information record
B- medical treatment record
C- routing slip
D- ledger card

Answer: D

3- When should you submit a claim to a secondary insurance company?
A- When a primary insurance company returns a claim for correction
B- When the patient authorizes you to do so
C- At the same time you submit the claim to the primary carrier
D- After you receive payment from the primary insurance company

Answer: C

4- When you're completing a CMS-1500 form for a fee-for-service insurance company, you should omit the patient's telephone number because
A- a patient's phone number is confidential information
B- the insurance company will already have the patient's number
C- the insurance company shouldn't contact the patient directly by phone
D- the phone number creates problems for scanners

Answer: A

5- Moat of the laws that govern Medicaid coverage are set by
A- the CMS
B- WHO
C- state governments
D- the federal government

Answer: A

6- CHAMPUS was created to provide insurance coverage primarily for
A- men & women on active duty in the armed forces
B- spouses & children of men & women on active duty
C- disabled veterans
D- retired veterans

Answer: B

7- In block #8 of the CMS-1500 form, the box labeled "full-time student" & "part-time student" is used for
A- patients who are dependent children of the subscriber
B- patients under the age of 18
C- patients who are at the age of majority but are still covered by their parents' insurance
D- patients who are dependent children with their own insurance coverage

Answer: C

8- What form should be attached to a CMS-1500 form submitted to a secondary insurance company
A- a copy of the CMS-1500 sent to the primary insurance company
B- an explanation of benefits
C- a copy of the patient's medical treatment card
D- a copy of the patient's ledger card

Answer: A

9- To provide nonemergency treatment to a CHAMPUS patient, the sponsor must obtain preauthorization if the
A- patient is new to the office
B- sponsor is within a 40-mile radius of a CHAMPUS treatment facility
C- patient has secondary insurance coverage
D- sponsor is treating the patient for an injury caused by an automobile accident

Answer: B

10- According to medical & dental associates' procedures, who should receive the bill for the portion of Ritchey's fee that's not covered by insurance?
A- ritchey bacon
B- melanie beeker
C- cheryl bacon
D- charles bacon

Answer: C

11- When you receive the medicaid payment for philip woods, which of the following actions should you take regarding the remainder of the bill?
A- send no more claims-you must accept what medicaid provides
B- send a bill for the remainder to the patient, philip woods
C- submit a second claim to medicare
D- submit a claim to the referring doctor, dr. lukosie

Answer: B

12- On the ADA for keith konklin, the number 333-2589 should be placed in block?
A- #7
B- #18
C- #19
D- #31

Answer: #7

13- Which of the following codes should include an indication of tooth 14 on the ADA?
A- 02330
B- 00120
C- 00220
D- 01110

Answer: D

14- Which of the following types of insurance form should you complete for terence james?
A- an ADA form
B- a CMS-1500 form
C- a form provided by the patient
D- a medicaid dental form

Answer: D

15- How many seperate items should you list in block #31?
A- 1
B- 2
C- 4
D- 5

Answer: A

16- For blocks #24-#30, which one should be marked "yes" for bill williams?
A- block #24
B- block #25
C- block #27
D- block #28

Answer: B

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