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Billing Specialist Knowledge Assessment

Posted on 16. Sep, 2010 by in Toolkit

Before you hire a biller, you need to make sure he or she is qualified for the position. The following test coupled with a math test will assess whether the candidate will be successful in the role — and an asset to your company.

Name: _____________________________________________  Date: _______________

  1. A CPT code has _______ digits and an ICD-9-CM code has _______ digits
  2. Explain the difference between a CPT code and an ICD-9-CM code
  3. What is the purpose of a modifier?
  4. What are E&M codes?
  5. What does “COB” stand for?  
  6. What insurance information do you obtain when the patient contacts our office with new insurance?
  7. If the patient has Medicare, Tricare and Medicaid, which insurance would you bill first, second, last? 
  8.  Patient is 65; has BCBS through employer w/ 100+ employees and has Medicare Part A only.  Which insurance would you file first?
  9. What does HIPAA stand for? And what

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