Medical Billing Mini-Quiz

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Billing basics quiz

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John J

Pakistan

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Froggy Jumps Medical Billing Mini-QuizOnline version Billing basics quiz by John J 1 What does CPT stand for in medical billing? a Current Practice Taxonomy b Clinic Procedure Terms c Current Procedural Terminology 2 Which payer type often requires prior authorization for procedures? a Self-pay only b Medicaid c Commercial insurance 3 Which code set is used to report diagnoses? a ICD-10-CM b CPT c HCPCS 4 What does a modifier -25 indicate on a claim? a Unemployed modifier b Billed separately for two procedures c Significant, separately identifiable E/M service 5 HCPCS codes are used to report what? a Nondiagnostic findings b Medically necessary supplies and services c Procedural flags only 6 Which document summarizes a patient visit for billing? a Ledger b Claim denial letter c Superbill 7 A denial due to lack of medical necessity is most likely an issue with which code? a CPT b ICD-10-CM c Revenue code 8 What is a clean claim? a Filed after deadline b One with accurate information and documentation c Submitted with errors 9 Which filing deadline is typical for most third-party claims? a Within 7 days b Within 30–90 days of service c Within 1 year 10 Which of these is NOT a reason for a claim denial? a Incomplete patient information b Missing prior authorization c Accurate coding on the claim

Froggy Jumps

Medical Billing Mini-QuizOnline version

Billing basics quiz

by John J

What does CPT stand for in medical billing?

Current Practice Taxonomy

Clinic Procedure Terms

Current Procedural Terminology

Which payer type often requires prior authorization for procedures?

Self-pay only

Medicaid

Commercial insurance

Which code set is used to report diagnoses?

ICD-10-CM

CPT

HCPCS

What does a modifier -25 indicate on a claim?

Unemployed modifier

Billed separately for two procedures

Significant, separately identifiable E/M service

HCPCS codes are used to report what?

Nondiagnostic findings

Medically necessary supplies and services

Procedural flags only

Which document summarizes a patient visit for billing?

Ledger

Claim denial letter

Superbill

A denial due to lack of medical necessity is most likely an issue with which code?

CPT

ICD-10-CM

Revenue code

What is a clean claim?

Filed after deadline

One with accurate information and documentation

Submitted with errors

Which filing deadline is typical for most third-party claims?

Within 7 days

Within 30–90 days of service

Within 1 year

Which of these is NOT a reason for a claim denial?

Incomplete patient information

Missing prior authorization

Accurate coding on the claim

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Medical Billing Mini-Quiz

Froggy Jumps

About this activity

Created by

Download the paper version to play

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Medical Billing Mini-QuizOnline version

by John J

What does CPT stand for in medical billing?

Which payer type often requires prior authorization for procedures?

Which code set is used to report diagnoses?

What does a modifier -25 indicate on a claim?

HCPCS codes are used to report what?

Which document summarizes a patient visit for billing?

A denial due to lack of medical necessity is most likely an issue with which code?

What is a clean claim?

Which filing deadline is typical for most third-party claims?

Which of these is NOT a reason for a claim denial?

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