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Medical Knowledge Assessment:

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What is a HCFA 1500?  

What is a UB92?  

What is the significance of the digits placed 

under "type of bill" of a UB92?  

Describe a CPT code  

Describe a ICD-9 code  

Describe a HCPCS code  

Describe a Revenue Code  

Match the following codes with the following descriptions  

A:   Revenue Code

B:   CPT Code

C:   HCPCS Code

D:   ICD-9 Code

 

 

65721

 

354.1

L3906

972

What is an EOB?  

What is a COB?  

Explain the terms:  Usual and Customary  

Explain what Primary and Secondary Insurance means  

When sending out secondary claims,   

what must accompany each claim?  

When submitting an X-ray charge to Medicare under physician's    billing, what modifier must be attached to the CPT code?  

What is a per-diem?  

What does HMO stand for?  

What does PPO stand for?  

What is Capitation?  

What is Contractual Allowance?  

What is the subscriber? 

Who is the carrier? 

Who is the provider?  

Give 2 examples of commercial insurance  

What is the usual coverage percentage for  

most commercial policies?    

What is a deductible?  

Explain the difference between a Co-pay and Co-Insurance?  

What does self pay mean?  

What is the difference between Blue Cross and Blue Shield?  

What is the difference between Medicare A and Medicare B?  

Define "pre-existing condition"  

What is electronic billing?  

  

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