Test Your Medical Billing Expertise with Our Comprehensive Quiz

To schedule patient appointments

To translate medical procedures into standardized codes

To manage patient medical records

To diagnose patient illnesses

ICD-10-CM

CPT

HCPCS Level II

DRG

Health Insurance Privacy and Protection Act

Healthcare Information Privacy and Accountability Act

Health Insurance Portability and Accountability Act

Health Information Privacy and Accountability Act

Form 1040

Form 1099

CMS-1500

W-2

To provide a detailed list of services rendered for billing purposes

To schedule follow-up appointments

To record patient demographics

To diagnose patient conditions

HMO

PPO

EPO

SPO

Explanation of Benefits and Obligations

Explanation of Benefits

End of Benefits

Evidence of Billing

American Medical Association (AMA)

Centers for Medicare & Medicaid Services (CMS)

World Health Organization (WHO)

National Institutes of Health (NIH)

Incorrect or incomplete patient information

Patient satisfaction

High patient volume

Long waiting times

Medicare Advantage

Health Maintenance Organization (HMO)

Short-Term Health Insurance

Indemnity Insurance

CPT codes describe procedures, while ICD codes describe diagnoses

CPT codes are used internationally, ICD codes are not

CPT codes are numerical, ICD codes are alphanumerical

There is no difference

Claim Submission

Pre-Authorization

Payment Posting

Denial Management

A claim submitted with no errors or missing information

A claim that has been paid in full

A claim related to preventive services

A claim that has been denied

A123

99213

E11.9

J45.40

30 days

90 days

60 days

120 days