Claims Reimbursement

Claims Reimbursement

11th Grade

23 Qs

quiz-placeholder

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Claims Reimbursement

Claims Reimbursement

Assessment

Quiz

Specialty

11th Grade

Medium

Created by

Jennelle Winn

Used 2+ times

FREE Resource

23 questions

Show all answers

1.

MULTIPLE CHOICE QUESTION

30 sec • 1 pt

What is an important part of the administration of a medical office that affects billing, claims, and the practice’s cash flow?

Patient registration

Insurance reimbursement

Appointment scheduling

Medical record keeping

2.

MULTIPLE CHOICE QUESTION

30 sec • 1 pt

Why is it important to submit clean claims for reimbursement?

To avoid legal issues

To ensure timely reimbursement

To maintain medical records

To provide proof of medical necessity

3.

MULTIPLE CHOICE QUESTION

30 sec • 1 pt

What does the diagnosis provide in the reimbursement process?

Proof of the patient's identity

Proof of medical necessity and appropriateness of the coded procedure

A detailed description of the patient's condition

The cost of the medical service provided

4.

MULTIPLE CHOICE QUESTION

30 sec • 1 pt

Which of the following is NOT one of the four main methods of reimbursement mentioned?

Fee-for-service

Capitation

Prospective payment system

Direct patient billing

5.

MULTIPLE CHOICE QUESTION

30 sec • 1 pt

According to the fee-for-service method, what does the insurance carrier pay the provider for?

The full amount the physician charges

The allowed charge for each covered service

A standard fee for all services

The cost of medical supplies used

6.

MULTIPLE CHOICE QUESTION

30 sec • 1 pt

If Dr. O’Reilly charges $200 for a comprehensive examination but the insurance's allowed charge is only $165, what can the physician do for the remaining amount? (Assuming Dr. O'Reilly is NOT a preferred provider.)

Write off the remaining amount

Request additional payment from the insurance

Balance bill the patient for the remainder of the fee

Provide a discount to the patient

7.

MULTIPLE CHOICE QUESTION

30 sec • 1 pt

What does UCR stand for in medical billing?

Uniform Cost Rate

Usual, Customary, and Reasonable

Unified Clinical Reimbursement

Ultimate Care Requirement

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