Welcome to your Medical Billing Course Quiz-1

1. Which of the following best defines Credentialing in medical billing?

2. Why is credentialing necessary before a provider can bill insurance?

3. Which organization is commonly involved in verifying provider credentials?

4. What happens if a provider skips credentialing?

5. The CAQH profile helps in:

6. Enrollment in medical billing refers to:

7. Which document is NOT required for enrollment?

8. PECOS is related to:

9. What is the final output of a successful enrollment process?

10. What is the difference between credentialing and enrollment?

11. The Rendering Provider is:

12. The Billing Provider refers to:

13. The Referring Provider is:

14. The Supervising Provider is responsible for:

15. The Attending Provider mainly applies to:

16. Which type of provider appears on CMS-1500 form?

17. Providers are identified uniquely by which number?

18. PTAN number is issued by:

19. Payers in medical billing are:

20. Which of the following is a Federal Insurance?

21. Commercial Insurance Companies include:

22. HMO plan primarily requires:

23. PPO plan allows:

24. EPO plan means:

25. POS plan combines features of:

26. TRICARE covers:

27. CHAMPVA is for:

28. Which payer type is government-funded but state-administered?

29. Which system is used by providers for Medicare enrollment management?

30. Which form is used to submit professional medical claims to insurance companies?