mod 150 week 1theory Word Scramble
|
Embed Code - If you would like this activity on your web page, copy the script below and paste it into your web page.
Normal Size Small Size show me how
Normal Size Small Size show me how
Question | Answer |
TIME LIMITS ATATED IN INDIVIDUAL HEALTH INSURANCE POLICIES ABOUT AN INSURANCE COMPANY'S OBLIGATION TO PAY BENEFITS ARE THE SAME FOR ALL INSURANCE COMPANIES | FALSE |
THERE IS STANDARDIZATION OF FORMAT FOR THE EXPLANATION OF BENEFIT DOCUMENT FOR ALL PRIVATE INSURANCE CARRIERS | FALSE |
THE INSURANCE INDUSTRY IS PROTECTED BY A SPECIAL EXEMPTION FROM THE FEDERAL TRADE COMMISSION | TRUE |
INSURANCE COMPANIES ARE RATED ACCORDING TO THE NUMBER OF COMPLAINTS RECIEVED ABOUT THEM | TRUE |
THE STATUS OF ELECTRONIC INSURANCE CLAIMS MAY BE ACCESSED QUICKLY ELECTRONICALLY OR TELEPHONICALLY BY DIGITAL RESPONSE SYSTEM | TRUE |
INQUIRES ABOUT INSURANCE CLAIMS MAY BE IN WRITING OR BY TELEPHONE | TRUE |
A REJECTED INSURANCE CLAIM SHOULD BE CORRECTED AND SENT FOR REVIEW OR APPEAL | FALSE |
APPROXIMATELY 50% OF INDIVIDUALS PURSUE APPEALS ON A DENIED INSURANCE CLAIM | FALSE |
IN THE CASE OF A MEDICARE PART B REDETERMINATION CARRIERS HAVE BEEN INSTRUCTED TO PAY AN APPEALED INS | TRUE |
THE HEARING PROCESS IS MORE THEN THE AMOUNT OF THE CLAIM | TRUE |
IF YOU HAVE A DENIED INSURANCE CLAIM YOU SHOULD CHANGE THE INFORMATION AND RESUBMIT THE CLAIM | FALSE |
ROUTINE USE OF TOO MANY NONSPECIFIC DIAGNOSTIC CODES MAY RESULT IN DOWNCODING | TRUE |
IN ANY TYPE OF OVERPAYMENT SITUATION ALWAYS CASH THE THIRD PARTY PAYER'S CHECK AND WRITE A REFUND CHECK PAYABLE TO THE ORIGINATOR OF THE OVERPAYMENT | TRUE |
IF THE PROVIDER IS NOTIFIED BY A COMMERICAL INSURANCE CARRIER THAT AN OVERPAYMENT HAS BEEN MADE INVESTIGATE THE REFUND REQUEST | TRUE |
A LEVEL 1 MEDICARE REDETERMINATION MAY BE MADE EITHER BY TELEPHONE IN WRITING OR BY SUBMITTING A CMS-20027 FORM | TRUE |
A PEER REVIEW IS USUALLY DONE BEFORE THE APPEAL PROCESS | FALSE |
APPEAL DECISIONS ON MEDICARE UNASSIGNED INSURANCE CLAIMS ARE SENT TO THE PATIENT | TRUE |
THE HIGHEST LEVEL OF A MEDICARE REDETERMINATION IS WITH AN ADMININISTRATIVE LAW JUDGE HEARING | FALSE |
THE CODES IN THE EYE AND OCULAR ADNEXA SUBSECTION ARE BILATERAL CODES | FALSE |
THE DESTRUCTION CODES IN THE POSTERIOR SEGMENT SUBSECTION INCLUDE ONE OR MORE SESSIONS | TRUE |
IF AN INSURED IS IN DISAGREEMENT WITH THE INSURER FOR SETTLEMENT OF A CLAIM A SUIT MUST BEGIN WITHIN | 3 YEARS |
IF A PAYMENT PROBLEM DEVELOPS WITH AN INSURANCE COMPANY AND THE COMPANY IGNORES CLAIMS AND EXCEEDS TIME LIMITS TO PAY A CLAIM IT IS PRUDENT TO CONTACT THE | STATE INSURANCE COMMISSIONER |
THE DOCUMENT TOGETHER WITH THE PAYMENT VOUCHER THAT IS SENT TO A PHYSICIAN WHO HAS ACCEPTED ASSIGNMENT OF BENEFITS IS REFERRED TO AS AN | EOB |
WHEN RECIEVING PAYMENT FROM A PRIVATE INSURANCE CARRIER CHECK THE AMOUNT OF PAYMENT ON THE EOB WITH THE | PATIENT'S FINANCIAL ACCOUNTING RECORD |
AN INSURANCE CLAIMS REGISTER PROVIDES A | FOLLOW UP PROCEDURE FOR INSURANCE CLAIMS |
PENDING OR RESUBMITTED INSURANCE CLAIMS MAY BE TRACKED THROUGH A | TICKLER FILE |
THERE ARE SEVERAL WAYS TO FILE PENDING INSURANCE CLAIMS WHAT IS THE BEST WAY TO FILE SO THAT TIMELY FOLLOW UP CAN BE MADE? | FILE BY PATIENT'S LAST NAME |
A FOLLOW UP EFFORT MADE TO AN INSURANCE COMPANY TO LOCATE THE STATUS OF AN INSURANCE CLAIM IS CALLED A /AN | INQUIRY |
IF AN INSURANCE CLAIM HAS BEEN LOST BY THE INSURANCE CARRIER THE PROCEDURE TO FOLLOW IS TO | ASK IF THERE IS A BACKLOG OF CLAIMS AT THE INSURANCE OFFICE |
AN EXAMPLE OF A TECHNICAL ERROR ON AN INSURANCE CLAIM IS | DUPLICATE DATES OF SERVICE |
AN INSURANCE CLAIM WITH AN INVALID PROCEDURE CODE WOULD BE | REJECTED |
WHAT SHOULD YOU DO IF AN INSURANCE CARRIER REQUESTS INFORMATION ABOUT ANOTHER INSURANCE CARRIER | PROVIDE THE INFORMATION |
AN INSURANCE CLAIM WITH A BUNDLED SERVICE WOULD BE | PAID |
AN INSURANCE CLAIM FOR WHICH PRIOR APPROVAL WAS NOT OBTAINED WOULD BE | PAID |
WHAT SHOULD BE DONE IF AN INSURANCE CLAIM DENIAL IS RECIEVED BECAUSE A BILLED SERVICE WAS NOT A PROGRAM BENEFIT? | SEND THE PATIENT A STATEMENT WITH A NOTATION OF THE RESPONSE FROM THE INSURANCE COMPANY |
WHAT SHOULD BE DONE IF AN INSURANCE COMPANY DENIES A SERVICE STATING IT WAS NOT MEDICALLY NECESSARY AND THE PHYSICIAN BELIEVES IT WAS? | REBILL WITH A LETTER OF EXPLANATION FROM THE PHYSICIAN |
WHEN DOWNCODING OCCURS PAYMENT WILL | BE LESS |
IF AN INSURANCE COMPANY ADMITS THAT A PATIENT SIGNED AN ASSIGNMENT OF BENEFITS DOCUMENT AND THAT IT INADVERTENLY PAID THE PATIENT INSTEAD OF THE PHYSICIAN THE INSURANCE COMPANY SHOULD | PAY THE PHYSICIAN WITHIN 2-3 WEEKS AND HONOR THE ASSIGNMENT EVEN BEFORE THE COMPANY RECOVERS ITS MONEY FROM THE PATIENT |
THE TOTAL NUMBER OF LEVELS OF REDETERMINATION THAT EXIST IN THE MEDICARE PROGRAM IS | FIVE |
THE FIRST LEVEL OF APPEAL IN THE MEDICARE PROGRAM IS | REDETERMINATION |
THE CORRECT METHOD TO SEND DOCUMENTS FOR A MEDICARE RECONSIDERATION (LEVEL2) IS BY | CERTIFIED MAIL WITH RETURN RECIEOT REQUESTED |
A REQUEST FOR A MEDICARE ADMINISTRATIVE LAW JUDGE HEARING CAN BE MADE IF THE AMOUNT IN CONTROVERSY IS AT LEAST | $120.00 |
HOW MANY LEVELS OF REVIEW EXIST FOR TRICARE APPEAL PROCEDURES? | THREE |
TRICARE APPEALS ARE NORMALLY RESOLVED WITHIN | 60 DAYS |
IN A TRICARE CASE A REQUEST FOR AN INDEPENDENT HEARING MAY BE PURSUED IF THE AMOUNT IN QUESTION IS | $300 OR MORE |
CATARACT AND LENS REPLACEMENT USES___DIFFERENT APPROACHES | 3 |
STRABISMUS SURGERY | CORRECTS THE MUSCLE MISALIGNMENT |
THE INNERMOST LAYER OF THE EYE IS THE | RETINA |
AN INSTRUMENT USED TO MEASURE INTRAOCULAR PRESSURE IS | TONOMETER |
THE COLORED MEMBRANE ATTACHED TO THE CILIARY BODY IS | IRIS |
IN THE TERM MIOTIC THE COMBINING FORM MI/O MEANS | LESS, SMALL |
IN THE TERM RETROLENTAL THE PREFIX RETRO- MEANS | BEHIND |
THE MEIBOMIAN GLANDS SECRETE | SEBUM |
THE MEDICAL TERM FOR NORMAL OR PERFECT VISION IS | EMMETROPIA |
THE ROOT IN THE TERM KEATOCONJUNCTIVITIS MEANS | JOIN TOGETHER |
AN AGENT THAT CAUSES THE PUPIL TO DILATE IS CALLED | MYDRIATIC |
THE MEASUREMENT OF THE CORNEA IS CALLED | KERATOMETRY |
HOW MANY EYE MUSCLES CONTROL MOVEMENT OF THE EYE? | SIX |
A CONDITION IN WHICH THE PUPILS ARE UNEQUAL IS TERMED | ANISOCORIA |
___IS THE PROCESS OF THE EYES MAKING ADJUSTMENTS FOR SEEING AT VARIOUS DISTANCE | ACCOMMODATION |
DRYNESS OF THE CONJUNCTIVA IS CALLED | XEROPHTHALMIA |
THE___IS THE OPENING IN THE CENTER OF THE IRIS | PUPIL |
CONJUNCTIVITIS IS OFTEN CALLED | PINKEYE |
THE TERM USED TO DESCRIBE THE CONDITION OF AN EYE BEING TURNED INWARD IS | ESOTROPIA |
OPACITY OF THE CRYSTALLINE LENS IS CALLED | CATARACT |
AN UNUSUAL INTOLERANCE OF LIGHT IS KNOWN AS | PHOTOPHOBIA |
AN INVOLUNTARY CONSTANT RYTHMIC MOVEMENT OF THE EYEBALL IS CALLED | NYSTAGMUS |
IN THE TERM MYDRIATIC, THE ROOT MYDRIAT MEANS | DILATION, WIDEN |
A MALIGNANT TUMOR ARISING FROM THE GERM CELL OF THE RETINA IS | RETINOBLASTOMA |
ALL OF THE FOLLOWING MAKE UP THE EXTERNAL STRUCTURE OF THE EYE EXCEPT | UVEA |
THE ANTERIOR CHAMBER IS FILLED WITH | AQUEOUS HUMOR |
A SURGICAL PROCEDURE THAT MAY BE PERFORMED TO CORRECT MYOPIA IS KNOWN AS | RADIAL KERATOTOMY |
THE SUFFIX IN BLEPHAROPTOSIS MEANS | DROOPING |
IN OLDER ADULTS THE LEADING CAUSE OF NEW CASES OF BLINDNESS IS | MACULAR DEGENERATION |
THE MIDDLE OR VASCULAR LAYER OF THE EYEBALL IS CALLED | UVEA |
THE MEDICAL TERM FOR NIGHT BLINDNESS IS | NYCTALOPIA |
LAZY EYE IS ALSO KNOWN AS | AMBLYOPIA |
___IS USED TO IDENTIFY CHANGES IN THE BLOOD VESSELS IN THE EYE AND TO DIAGNOSE SYSTEMIC DISEASES | OPHTHSLMOSCOPY |
THE __IS THE ANTERIOR TRANSPARENT PORTION OF THE EYEBALL | CORNEA |
THE MIDDLE LAYER OF THE EYEBALL IS KNOWN AS THE | UVEA |
MACULAR DEGENERATION INVOLES THE MACULAR AREA OF THE | RETINA |
THE ROOTS IN ORTHOPTICS MEANS | STRAIGHT |
IN THE TERM KERATOCONJUNCTIVITIS THE COMBING FORM KERAT/O MEANS | PUPIL |
THE MEASUREMENT OF THE INTRAOCULAR PRESSURE OF THE EYE IS | TONOMETRY |
THE PIGMENT NECCESSARY FOR NIGHT VISION IS | RHODOPSIN |
THE SMALL DEPRESSION LOCATED IN THE MACULA LUTEA IS KNOWN AS THE | FOVEA CENTRALIS |
SURGICAL DESTRUCTION AND REMOVAL OF THE LENS TERMED | PHACOLYSIS |
IN THE TERM CRYOSURGERY THE COMBINING FORM CRY/O MEANS | COLD |
IN THE TERM PHACOEMULSIFICATION THE COMBINING FORM PHAC/O MEANS | LENS |
A PROCESS OF REMOVING AN ENTIRE PART OR MASS WITHOUT RUPTURE IS CALLED | ENUCLEATION |
THE PROCESS OF USING ULTRASOUND TO DISINTEGRATE A CATARACT IS KNOWN AS | PHACOEMULSIFICATION |
IN THE TERM CONJUNCTIVITIS THE ROOT CONJUNCTIV MEANS | TO JOIN TOGETHER |
DRYNESS OF THE CONJUNCTIVA IS TERMED | XEROPHTHALMIA |
AN AGENT THAT CAUSES THE PUPIL TO COTRACT IS CALLED | MIOTIC |
THE MOST COMMON SURGERY TO REMOVE A CATARACT IS | PHACOEMULSIFICATION |
A DROOPING OF THE UPPER EYELID IS KNOWN AS | BLEPHAROPTOSIS |
A CONDITION OF HARDENING OF THE CRYSTALLINE LENS IS CALLED | PHACOSCLEROSIS |
A PHYSICIAN WHO SPECIALIZES IN THE STUDY OF THE EYE IS | OPHTHALMOLOGIST |
IN THE TERM NYCTALOPIA THE ROOT NYCTAL MEANS | NIGHT |
THE MEDICAL TERM FOR FARSIGHTEDNESS IS | HYPEROPIA |
THE AGENT USED TO CAUSE PUPILS TO CONTRACT IS A/AN | MIOTIC |
THE COLORED TISSUE ATTACHED TO THE CILIARY BODY IS THE | IRIS |
THE MEDICAL TERM FOR DULLNESS OF VISION IS | AMBLYOPIA |
BETA BLOCKERS INCREASE THE PRODUCTION OF INTRAOCULAR FLUID | FALSE |
THE IRIS IS ATTACHED TO THE CHOROID | FALSE |
THE NASOLACRIMAL DUCT DRAINS LACRIMAL FLUID INTO THE NOSE | TRUE |
THE PROTECTIVE COVERING FOR THE EXPOSED SURFACE OF THE EYEBALL IS THE SCLERA | FALSE |
THE LEADING CAUSE OF BLINDNESS OVER AGE 55 IS MACULAR DEGRNERATION | TRUE |
THE CIRCULAR OPENING IN THE CENTER OF THE IRIS IS CALLED THE PUPIL | TRUE |
THE ANTERIOR TRANSPARENT PORTION OF THE EYE'S FIBROUS OUTER SURFACE IS THE SCLERA | FALSE |
AN INCREASED AMOUNT OF TEARS CAN BE A SYMPTOM OF CONJUNCTIVITIS | TRUE |
AQUEOUS HUMOR IS LOCATED IN THE ANTERIOR CHAMBER | TRUE |
CATARACT REMOVAL IS ONE OF THE MOST COMMON OPERATIONS PERFORMED IN THE UNITED STATES TODAY | TRUE |
Created by:
moviegrl