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Unit 1-4 AR
Medical Manager
| Question | Answer |
|---|---|
| medicare | health protection for the elderly and disabled population |
| 99213 | procedure code |
| ICD-9 | universal coding system recognized by insurers |
| password | code for secure software access |
| HMO | pay-in-advance health care instead of traditional insurance |
| guarantor | party responsible for paying the medical account |
| dependent | individual covered by another's insurance |
| insurance plan | sometimes called carrier or claim center |
| insured party | person covered by insurance |
| overbooking | scheduling more than one patient in a time slot |
| encounter form | printed device used for communicating treatment |
| medicaid | health protection for the poor |
| 541.2 | sample diagnosis code |
| default | built-in, automatic response |
| backup copy | files backed up on a daily basis to ensure patient data is not lost |
| default | automatic response when enter is pressed. speeds up data entry. |
| basic insurance coverage | covers hospital, physcian, lab, x-ray and surgical fee's |
| major medical coverage | hospital coverage only, does not cover outpatient services |
| CPT-4 | codes that describe service/procedure |
| ICD-9 | diagnostic codes |
| T/F - the first step in the flow of information in a medical office is when the patient calls to schedule an appointment | T |
| T/F - after logging into the medical manager software, press ENTER to accept the system's preformatted date | T |
| T/F - care-caid is the term used when Medicare forwards the unpaid portion of the bill to medicaid | F |
| T/F - the term superbill is synonym for encounter form | T |
| T/F - editing an account is performed in menu 1 of the medical manager | F |
| T/F - to save information in the medical manager software, the PROCESS function can be used by clicking the green checkmark on the toolbar or by pressing the F1 key | T |
| T/F - the POS (place of service) code indicates the address of the insurance company | F |
| T/F - the insurance plan to be billed first is called the principal insurance | F |
| T/F - the user will key in C to change data while editing an account | F |
| T/F - with managed care plans, physicians are reimbursed by a payment method called capitation | T |
| T/F - the patient is the insured for the workers' compensation claims | F |
| T/F - changing a dependent's date of birth is performed in the edit ailment screen | F |
| T/F - there is space for five diagnosis codes on the procedure entry screen | F |
| T/F - the insured party record uniquely identifies the insured party associated with a given account | T |
| T/F - adding dependents to an existing account will change the guarantor's account | F |
| T/F - when printing a report, the option (C) represents computer | F |
| T/F - menu 2 is considered the main menu in the medical manager software program | F |
| T/F - the guarantor is financially responsible for the patient's account | T |
| T/F - the centers for medicare and medicaid services extened the NPI implementation deadline until May 23, 2007 | F |
| T/F - procedure entry list is located menu 2 in the medical manager | F |
| the _______ screen gives information about an illness | ailment detail |
| the user cannot change information once the __________ has been accepted | final daily close |
| procedure activities can be deleted in the ___________ screen | edit activity records |
| to make a change on the guarantor information scree, the user selects: | (M)odify |
| patients attached to the guarantor's account are called: | dependents |
| the acronym PHI stands for: | protected health information |
| pressing the ENTER key in the medical manager will automatically fill in data fields; this is known as: | auto populate |
| comprehensive insurance combines: | basic and major medical |
| all of the following are governmental plans EXCEPT: | workers' compensation |
| moving quickly between menus is called: | direct chaining |
Created by:
maxphia32
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