Medical billing basic questions

Q: Please tell the name of the codes that describe procedures.

Q: Please tell the name of the codes that describe diagnosis.

Q: What percent of the allowable amount does Medicare pay?

Q: What does TOS stands for?

Q: What does POS stands for?

Q: The acronym RA stands for?

Q: What form are professional claim submitted on?

Q: What is the purpose of a superbill?

Q: Which Medicare pays medical providers for healthcare services? Part A or B?

Q: If an Office visit and a procedure is billed on the same day by the same provider, but is distinctively different, what modifier would you use?

Q: To what code would you attach the 25 modifier?

Q: If a patient has Medicare and Blue Cross and Blue Shield and is retired, which insurance would be primary?

Q: If a patient has Medicare and Blue Cross and Blue Shield and is working for a company with more than 15 employees, which insurance would be primary?

Q: If a patient has an out of state Blue Cross and Blue Shield plan, where would you send the claim?

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