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Mixed Quiz
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1A conditional payment can be made when Medicare is the primary payer.
A)True
B)False


2A conditional payment can be made by Medicare as the secondary payer under specific circumstances.
A)True
B)False


3The guarantee of payment provision is a TRICARE policy.
A)True
B)False


4The same occurrence code can appear multiple times on a claim.
A)True
B)False


5LOA is an abbreviation for level of admission for inpatient care.
A)True
B)False


6On a claim form, the period of skilled nursing care that occurs during an inpatient acute hospital stay is reported using:
A)condition code
B)occurrence span code
C)occurrence code
D)Remarks field


7Occurrence code 02 (No-Fault Insurance Involved) is an example of which type of occurrence code?
A)an accident-related code
B)a medical condition code
C)an insurance-related code
D)a service-related code


8Occurrence code 40 (Scheduled Date of Admission) is an example of which type of occurrence code?
A)an accident-related code
B)a medical condition code
C)an insurance-related code
D)a service-related code


9Occurrence code 16 (Date of Last Therapy) is an example of which type of occurrence code?
A)an accident-related code
B)a medical condition code
C)an insurance-related code
D)a service-related code


10A payment requested from Medicare before a primary payer's payment is received, when Medicare is the secondary payer and the provider believes that the primary payer will not pay within 120 days, is called a:
A)conditional payment
B)advance payment
C)early payment
D)equity payment





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