Medical Billing and Coding Flashcards
7 cards from real RMA practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.
Read the first 7 Medical Billing and Coding flashcards as text
What is the purpose of a remittance advice (RA) from a payer?
Answer: To explain how a claim was processed and paid
A remittance advice details payments, adjustments, and denials for submitted claims.
Bundling in coding means:
Answer: Combining several related procedures under one comprehensive code
Bundling groups related services into a single payment code to prevent overbilling.
Which information is required to verify a patient's insurance eligibility?
Answer: Member ID and date of birth
Eligibility verification needs the member ID and identifying details like date of birth.
What does the term 'aging' refer to in accounts receivable?
Answer: The length of time a claim or balance has been unpaid
Aging tracks how long invoices or claims have remained outstanding, often in 30-day buckets.
Prior authorization is best described as:
Answer: Payer approval obtained before a service is rendered
Prior authorization is advance approval from the insurer confirming a service will be covered.
A superbill primarily serves to:
Answer: List the diagnoses and services from a patient encounter for billing
A superbill itemizes the codes and charges from a visit so a claim can be generated.
Which entity assigns the National Provider Identifier (NPI)?
Answer: CMS
The Centers for Medicare & Medicaid Services issues the unique NPI to providers.