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Medical Billing

Description:

Our Medical Billing (U.S.) test measures your knowledge of medical billing procedures and regulations under the various health plans popular in the United States. Designed for experienced hospital administrators, this test covers the following topics: HIPAA, Managed Care, Medicaid, Medical Billing Basic Knowledge, Medical Billing Documents, Medical Billing Process, Medical Terminology, Medicare, Specialty Billing, and TRICARE. This test will verify an individual's knowledge of the concepts and subjects tested. The results of this test do not imply that the individual possesses the necessary skills to perform a specific procedure, nor treatment, nor is licensed, nor authorized, to practice any health care profession under any applicable laws.

This test is associated with a Job Role. Please visit the Job Role Center for more details.

$49.95

Once you request a test, your Personal Identification Number (PIN) will be stored in your My Plan for easy access. You will have 90 days in which to take the test you requested.

Test Outline

CHAMPUS
Eligibility
Electronic Claims
Positive vs negatives, government regulations
Purpose
HIPAA
Electronic Claims
Information Security
Patient Privacy
Managed Care
Capitation
Non-covered Services
PPO vs HMO
Pre-authorization
Pre-authorization & Pre-certification
Referrals
Medicaid
Basic Services
Eligibility
Managed Care
Out of State
Medical Billing
CPT Coding
HCFA Forms
ICD-9CM
Purpose
Medical Billing Basic Knowledge
CPT-4 Coding
HCPCS Codes
ICD-9-CM
Medical Billing Documents
CMS Form 1500
Insurance Contract
UB-92
Understanding the EOB
Medical Billing Process
Accounts Receivables Recovery
Claim Denials
Copays, Co-Insurance & Deductibles
Managed Care, PPO, POS, IPA, & Capitation
Verification of Benefits
Medical Terminology
ICD-9CM
Insurance Terms
Prefixes
Roots
Specialists
Suffixes
Medicare
3-Coding Level
As Secondary Payor
Eligibility
Managed Care
Medigap
Part A
Part B
UPIN#
Specialty Billing
ERISA Benefit Requirements
ERISA Eligibility
Workers' Comp Awareness
Workers' Comp Processing
TRICARE
Eligibility
Fiscal Intermediary
Plans
Workman's Comp
Definition
FECA Program