Medical Billing Software Proficiency Certification

Question 1

What is the acronym of Early and Periodic Screenings-Diagnosis-and Treatment?

Collection Ratio EPSDT V.I. Payment Electronic Claim

Correct Answer:

EPSDT

Question 2

Maggie visits the chiropractor once every week and has Medicaid. Maggie is told by the chiropractor that she must pay a $25 copay for each visit even though she has Medicaid. There is no copay on Marge's insurance card. When Maggie questions the billing office, they inform her that her insurance only pays $17 for each chiropractic visit and that it would be cheaper for her to pay the $25 out-of-pocket. In accordance with Medicaid rules:

Maggie should ask to pay $17 per visit. It is illegal to bill Medicaid patients without signed consent. it is illegal to bill Medicaid patients before billing Medicaid first. Maggie should call Medicaid to see if her copay has changed.

Correct Answer:

It is illegal to bill Medicaid patients without signed consent.

Question 3

The time frame for filing a claim with Medicare is:

120 days 365 days 90 days 180 days

Correct Answer:

365 days

Question 4

A test costs $400 and is provided. The patient is responsible for $23.56 while the insurance company pays $300. What are the terms for the contractual discount and the patient's obligation?

$$76.44, coinsurance $$100, copay $$76.44, copay $$100, coinsurance

Correct Answer:

$$76.44, coinsurance

Question 5

The sum an insurance provider is charged for services:

Each procedure must have a set cost for all insurance companies. can vary based on how difficult the operation was varies based on the amount that the insurance pays out for that procedure. Must be a predetermined sum for each specific insurance provider.

Correct Answer:

Each procedure must have a set cost for all insurance companies.

Question 1

Exam overview

About this Exam

Prepare with the Medical Billing Software Proficiency Certification practice quiz. This question bank includes 200 questions covering billing, medical, software, insurance, and patient. Use it to review important concepts, identify knowledge gaps, and build confidence for the related exam, course, or assessment.

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Medical Billing Software Proficiency Certification

This practice set contains 200 questions from the matching question bank and focuses on billing, medical, software, insurance, and patient. Work through each question carefully, review the provided solutions, and revisit topics that need more study before your next attempt.

This is an independent study resource intended for practice and review; it is not an official examination or an endorsement by any organization named in the title.

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About this Exam

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Medical Billing Software Proficiency Certification

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