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| Section | Objectives |
|---|---|
| Topic 1: Coding and Claim Submission Basics | - Use of modifiers and coding compliance - Claims submission processes - ICD-10-CM, CPT, and HCPCS overview |
| Topic 2: Insurance Processing and Payer Rules | - Coordination of benefits (COB) - Private insurance policies and contracts - Medicare and Medicaid guidelines |
| Topic 3: Compliance and Regulations | - HIPAA and patient privacy rules - Fraud and abuse prevention - Billing compliance standards |
| Topic 4: Medical Billing Fundamentals | - Insurance types and payer structures - Medical billing workflow and revenue cycle - Healthcare reimbursement systems |
| Topic 5: Revenue Cycle Management | - Payment posting and reconciliation - Claims denial and rejection management - Accounts receivable follow-up |
1. The medical prefix "dys-" means:
A) excision, removal
B) vomiting
C) blood condition
D) bad, painful
2. EDD
A) (California) Employment Development Department
B) Employer group health plan
C) Electronic data interchange
D) Electronic funds transfer
3. The word root "acr" (or "acro-") refers to:
A) toward
B) extremities, top
C) fat
4. What does the acronym COB stand for in medical billing?
A) Consolidated Omnibus Budget Reconciliation Act of 1985
B) Certified Professional Coder
C) Current Procedural Terminology
D) Coordination of Benefits
5. in
A) between
B) in, into, not
C) within, into
Solutions:
| Question # 1 Answer: D | Question # 2 Answer: A | Question # 3 Answer: B | Question # 4 Answer: D | Question # 5 Answer: B |
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