Questions and Answers
Which keyboard shortcut is used to apply the currency format to selected cells?
What is the result of using the keyboard shortcut Ctrl+Shift+&?
Which keyboard shortcut will unhide columns that have been hidden?
To access the Format Cells dialog box, which shortcut would you use?
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Which shortcut is specifically for formatting cells to display time?
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What action does the shortcut Ctrl+5 perform?
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Which of the following shortcuts will hide rows in a worksheet?
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What does pressing the Alt or F10 key do?
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Which keyboard shortcut do you use to toggle outline symbols on or off?
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To access the Font Drop Down List, which shortcut should be used?
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Study Notes
Payment Posting
- Payment posting is the process of entering payment details into a billing system using EOB/ERA's and correspondence received from payers.
- There are three natures of payments: full payment, overpayment, and low payment.
Account Receivables (AR)
- AR involves collecting money owed to a provider by an insurance company for services rendered to a patient.
Denial Management
- Denial management involves managing denied claims and resolving issues to receive payment.
Place of Service Codes
- Place of service codes are used to identify the location where a medical service was provided, such as:
- Office (POS 11)
- Hospital outpatient (POS 22)
- Emergency room (POS 23)
- Ambulatory surgical center (POS 24)
- And many others...
Timely Filing Limit
- The timely filing limit is the time frame within which a claim must be submitted to an insurance company, which varies by insurance company, such as:
- Medicare: 365 days
- Medicaid: 90 days from date of denial or payment
- BCBS: 180 days
- And many others...
CPT Codes
- CPT codes are used to identify medical services and procedures, such as:
- Anesthesia (00100-01999)
- Surgery (10000-69990)
- Radiology (70000-79999)
- And many others...
Plans
- HMO (Health Maintenance Organization) is a type of health insurance plan that provides coverage for medical services within a network of providers.
- Medicare is a federal health insurance program for people 65 or older, certain younger people with disabilities, and people with End-Stage Renal Disease (ESRD).
- Medicaid is a joint federal-state program that provides health coverage to low-income individuals and families.
- Tricare is a health insurance program for active duty members, retirees, and families of the uniformed services.
- CHAMPVA is a health insurance program for certain eligible veterans and their families.
Claim Processing
- Claim processing involves the steps taken to process a claim, including:
- Verifying the processing date
- Determining the allowed amount and paid amount
- Verifying whether the claim was paid through EFT or check
- Requesting an ERA (Electronic Remittance Advice)
Time Zones
- The United States has six time zones: Pacific, Mountain, Central, Eastern, Alaska, and Hawaii-Aleutian.
- Daylight Saving Time (DST) typically begins on the second Sunday of March and ends on the first Sunday of November.
Keyboard Shortcuts
- Various keyboard shortcuts are available in Excel, including:
- Ctrl+Shift+@ for time format
- Ctrl+Shift+# for date format
- Ctrl+Shift+$ for currency format
- And many others...
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Description
Quiz on medical billing and reimbursement processes, including payment posting, account receivables, and denial management.
