Page 2 - EXAM PER CATEGORY
P. 2
A. CHAMPVA
B. TRICARE
C. BCBS
D. Medicare
A. scheduling
5) The primary care provider hands the medical assistant a referral for a patient to get an
MRI. Which of the following should the medical assistant do first?
A. Call the facility and schedule the MRI.
B. Call the insurance company and process an authorization.
C. Fax pertinent medical records to the facility.
D. Document the precertification number in the patient’s chart.
6) The patient is referred to a neurosurgeon. Entering the specialist’s NPI number and
number of visits requested into the patient’s insurance carrier’s website is part of which
of the following processes?
A. precertification
B. compensation
C. electronic claims submission
D. assignment of benefits
7) The transfer of information such as patient eligibility, payment remittances, claims, claim
status, authorizations and referrals are addressed under the HIPAA Administrative
Simplification and Compliance Act as electronic
A. report management.
B. remittance advice.
C. data interchange.
D. clearinghouse.
BASIC CODING
