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| Section | Objectives |
|---|---|
| Topic 1: Coding and Claim Submission Basics | - ICD-10-CM, CPT, and HCPCS overview - Use of modifiers and coding compliance - Claims submission processes |
| Topic 2: Revenue Cycle Management | - Claims denial and rejection management - Payment posting and reconciliation - Accounts receivable follow-up |
| Topic 3: Insurance Processing and Payer Rules | - Medicare and Medicaid guidelines - Coordination of benefits (COB) - Private insurance policies and contracts |
| Topic 4: Compliance and Regulations | - HIPAA and patient privacy rules - Billing compliance standards - Fraud and abuse prevention |
| Topic 5: Medical Billing Fundamentals | - Healthcare reimbursement systems - Insurance types and payer structures - Medical billing workflow and revenue cycle |
1. EMC
A) Exclusive provider organization
B) Electronic Medical Record
C) Explanation of Benefits
D) Electronic Media Claim
2. What does the acronym FSA stand for?
A) Flexible Spending Account
B) General Equivalency Mapping
C) General Enrollment Period
D) Geographic Cost Practice Index
3. What does the acronym FR stand for?
A) Flexible Spending Account
B) General Equivalency Mapping
C) General Enrollment Period
D) Federal Register
4. What does it mean by derm and dermat?
A) blood
B) nail
C) skin
D) bones
5. GPWW stands for Group Practice Without Walls.
A) FALSE
B) TRUE
Solutions:
| Question # 1 Answer: D | Question # 2 Answer: A | Question # 3 Answer: D | Question # 4 Answer: C | Question # 5 Answer: B |
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