RMA Medical Billing and Coding

Question 1

Which coding system is used to report physician and outpatient procedures and services to insurance carriers?

Accepted Answer

CPT

Answer

ICD-10-CM

Answer

HCPCS Level II

Answer

DRG

Question 2

What does the term 'EOB' stand for in medical billing?

Accepted Answer

Explanation of Benefits

Answer

End of Benefits

Answer

Evidence of Billing

Answer

Estimate of Balance

Question 3

Which ICD-10-CM code type is used when a definitive diagnosis has not yet been established?

Accepted Answer

Symptom codes

Answer

Z codes

Answer

V codes

Answer

E codes

Question 4

What is a superbill in medical practice?

Accepted Answer

A detailed itemized list of services provided during a visit used for billing

Answer

A bill for services exceeding $1,000

Answer

A government-issued form for Medicare claims

Answer

A duplicate statement sent to a collections agency

Question 5

Which form is used to submit claims to Medicare Part B?

Accepted Answer

CMS-1500

Answer

UB-04

Answer

HCFA-1450

Answer

ADA Dental Claim Form

Question 6

What is the purpose of prior authorization in medical billing?

Accepted Answer

To obtain advance approval from an insurer before providing certain services

Answer

To verify that a patient has paid their deductible

Answer

To confirm a patient's identity before treatment

Answer

To review a claim after it has been denied