Prepare for the Dental Billing Skills Assessment exam with these practice questions and answers. This covers CDT codes, insurance claims processing, and billing procedures.
Q: After the treatment plan has been developed, the financial plan will be written up & presented to the patient. Whose responsibility is it to monitor compliance w/ the plan & initiate collection procedures when the plan is not followed?
Answer: The Administrative dental assistant
Q: A telephone reminder call should NOT be made when?
Answer: Before 8 a.m.
Q: Credit card payments for dental services are considered to be an?
Answer: Cash payment
Q: What has proved ti be the most effective method for collecting unpaid bills?
Answer: Telephone Calls
Q: What is a series of reminders that payment is past due?
Answer: The collection process
Q: The person identified as the ______ on a childs patient registration form must be informed of treatment & must authorize any payment plan before treatment begins?
Answer: Financially responsible party
Q: A correctly completed dental claim form will contain all information requested for each data item. The administrative dental assistant can obtain this information from the?
Answer: Patients Clinical chart
Q: A teenager is new to the dental office & is filling out a new patient paperwork. When he gets to the insurance section, he asks you what he should put for the subscriber. You explain that?
Answer: The holder of the dental benefits is the subscriber.
Q: A patient states that he has dental insurance through his employer & is also covered under his wifes plan. He ask whether both plans can be used to cover the full amount of the treatment. You know the term that describes this process is called?
Answer: Coordination of benefits *(COB)*
Q: A new administrative dental assistant is learning to complete insurance claims. The claim she is processing is for a minor child who is covered under dental plans from both parents employers. She asks whether you know which plan should be billed first. Using the birthday rule, what would you tell your colleague?
Answer: The parent whose birthday comes first in the year is the primary insurance holder.
Q: The total dollar amount an insurance company will pay during the YEAR?
Answer: Maximum Coverage
Q: When the usual fee charged by the dental practice is higher than the fee established in a _______ the difference between fees cannot be charged to the patient.
Answer: Fixed Fee Schedule
Q: True or false: The CDT manual is used principally to identify & define transaction codes?
Answer: TRUE
Q: What is the set dollar amount that the patient must pay towards treatment before the third party will consider payment?
Answer: The deductible
Q: A system that records all monies the dental practice owes others?
Answer: Accounts Payable
Q: True or false: Treatment plans & associated cost are components of the financial record?
Answer: FALSE
Q: What is the last step in the daily routine for managing patient transactions?
Answer: Complete end of day procedures
Q: What is the purpose of a routing slip?
Answer: To communicate information between the treatment area & the business office.
Q: a _____ system calculates the amount of money owed to the dental practice by accounting for charges & payments?
Answer: Accounts Receivable
Q: The administrative dental assistant should pull patients clinical records, confirm appointments, & prepare the daily schedule when?
Answer: The day before treatment
Q: When transactions are posted in a computerized accounting system, the information is stored in the patients database & is used to generate what?
Answer: Patients ledger, insurance claim, & patients billing statement.
Q: a _____ is created when a patient pays for treatment in advance?
Answer: Credit Balance
Q: The effective data of dental coverage is called?
Answer: Eligibility Date
Q: List of charges for dental services & procedures established by the dentist or a dental benefits provider & mutually agreed on?
Answer: Fee Schedule
Q: Method of changing a reported benefits code by third party payers to reflect a lower cost for the procedure?
Answer: DOWN coding
Q: Portion of the service fee that remains after payment is made by the dental benefit plan & is payable by the patient?
Answer: Co-payment
Q: List of terms & codes established by the ADA for the purpose of consistency in reporting dental services & procedures to dental benefits plan?
Answer: Current Dental Terminology
Q: Fee that patient is responsible for paying before the insurance company will consider payment of the balance of charges?
Answer: Deductible
Q: Method of financial assistance that helps pay for specified procedures & services concerning dental disease & accidental injury to the oral structure?
Answer: Dental Insurance
Q: Persons who are covered under another persons dental policy?
Answer: Dependent
Q: Total amount of dental benefits that will be paid for an individual/family for the purpose of dental services & procedures?
Answer: Maximum benefit
Q: Dentist who has contracted w/ a dental benefits organization to provide dental care to specific enrollees?
Answer: Participating Dentist
Q: A person who has enrolled w/ an insurance company to provide payment for dental services & procedures?
Answer: Insured
Q: A clause in most dental insurance policies that limit coverage for conditions that existed before patient enrolled in the plan?
Answer: Pre-existing Condition
Q: Other than printing & submitting dental claims by mail, how else can they be submitted?
Answer: Electronically
Q: What does is mean if your maximum runs on a calendar year?
Answer: It goes from January-December & starts over again
Q: Collection Process:
Answer: Friendly ReminderTelephone ReminderCollection LetterThe UltimatumTurning account over for collection