CPC Compliance & Regulatory

1. 1 : Which of the following are true for Medicare part B?

   A) Medicare part B pays for Hospital
   B) Medicare Part B pays for all Drugs
   C) Medicare part B is nonfederal insurance
   D) Medicare part B pays for Physicians

1. 2 : Physician services are billed on a:

   A) CMS-1450
   B) CMS-1299
   C) CMS-1500
   D) UB-04

1. 3 : Which of the following is mandated by public law to engage in activities to test the efficiency and economy of government programs to include investigation of suspected health care fraud or abuse?

   A) Office of Inspector General
   B) CMS
   C) Office of Civil Rights
   D) HIPAA

1. 4 : Clearing house is

   A) The agency between insurance and cash posting department
   B) The agency between AR callers and billing office
   C) The agency between billing office and insurance company
   D) The agency between billing office in US and Billing office in India

1. 5 : What is ABN

   A) The amount of money a patient must pay for health care services before an insurance company will make a payment
   B) To find out whether treatment (surgery, tests, hospitalization) is covered under a patient’s health insurance policy.
   C) A notice the hospital or doctor gives you before you’re treated, telling you that Medicare will not or may not pay for some treatment or services
   D) A requirement of some health insurance plans to obtain permission for a service or procedure before it is done and to see whether the insurance program agrees it is medically necessary.

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