Medical Billing – Interview Questions

How many fields are there in CMS 1500 form (Professional billing)? 35 33 32 34

What is a valid Place of Service for an office visit? 11 22 21 12

Tricare insurance health care program is for Active-duty military and their families Surviving spouses of military service members National Guard and Reserve, Retired service members and their families All of the above

Medicare Part B Covers Outpatient Care Home Healthcare DME & many preventive services like screening & Vaccines All of the above

In which plan PCP-Primary Care Physician is required? PPO Plan POS Plan HMO Plan EPO plan

On Which box# on HCFA 1500 form, the authorization number is available? Box# 25 Box# 23 Box# 24 Box# 22

Medicaid is administered by Federal government State government Private Companies Non profit organization

The difference between HMO and a PPO plan is HMO Cost Less, but provide better care PPO plans allow patients to be seen out of network at an increased cost, while HMO do not. HMO plan allow patients to be seen out of network at an increased cost, while PPO do not There is no difference between HMO and PPO plan

Can we bill Patient for Medicaid Claims? Yes No

A _______ is fixed amount member has to pay, before insurance company starts paying the benefit. Copay Coinsurance Deductible None of the above

CMS Stands For Centers for Medicare and Medicaid Services Centers for Medicine Services Centers for Medicare Services Centers for Medicaid Services

ROI stands for in medical billing? Rate of Interest Release of Indemnity Release of Information None of the above

COBRA Stands for? Consolidated Omnibus Budget Reconciliation Act Carrier Omnibus Budget Reconcillation Act Consolidated Omnibus Budget Retiree Act Consolidated Omnibus Budget Remittance Act

Modifier 26 is for? Technical Component Professional component Both Technical and Professional Component None of the above