Help
Options
Didn't know it?
click below
click below
Knew it?
click below
click below
Don't Know
Remaining cards (0)
Know
retry
shuffle
restart
0:00
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
Health allied
Billing
| Question | Answer |
|---|---|
| If the insurance plan has a hold harmless clause, it means that the patient is | not responsible for paying what the insurance plan denies. |
| The process of reporting __________ as numeric and alphanumeric characters on the insurance claim is called coding. | diagnoses and procedures/services |
| A claims examiner employed by a third-party payer reviews health-related claims to determine whether the charges are reasonable, in addition to | determining medical necessity of services/procedures |
| Which is another name for a health insurance specialist? | reimbursement specialist |
| claims examiner is employed by a | third-party payer to review claims |
| Which involves linking every procedure or service code reported on the claim to a condition code that justifies the necessity of performing that procedure or service? | medical necessity |
| The CPT manual is published by the | American Medical Association |
| Which is submitted to the payer requesting reimbursement? | health insurance claim |
| The Centers for Medicare and Medicaid Services (CMS) agency is located in the | DHHS |
| When a health insurance plan’s preauthorization requirements are not met by providers | payment of the claim is denied |
| Which coding system is used to report procedures and services on claims? | CPT |
| Which would be found on a remittance advice? | payment information about a claim |
| Which guarantees repayment for financial losses resulting from an employee’s act or failure to act? | bonding insurance |
| Medical malpractice insurance is which type of insurance? | liability |
| Which type of insurance covers employees and their dependents against injury and death that occurs during the course of employment? | workers’ compensation |
| The word embezzle means to | steal |
| Independent contractors should purchase __________ liability insurance, which provides protection from claims that contain errors and omissions resulting from professional services provided to clients as expected of a person in the contractor’s profession | professional |
| Which term describes the principles of right or good conduct and includes rules that govern the conduct of members of a profession? | ethics |
| The Healthcare Common Procedure Coding System (HCPCS) consists of __________ codes | CPT and national |
| Health information technicians | manage medical records |
| The organization that hires a(n) __________ is not liable for the acts or omissions of that individual | independent contractor |
| During completion of a student internship, the facility will likely require students to sign a nondisclosure agreement to protect | patient confidentiality |
| Which coding system is used to report procedures and services on inpatient hospital claims? | ICD-10-PCS |
| .Which does a provider usually employ to perform administrative and clinical tasks, which help keep the office or clinic running smoothly? | medical assistant |
| Which are published by CMS and used to report procedures, services, and supplies not classified in CPT? | national codes |
| Which is Latin for “let the master answer,” which means that the employer is liable for the actions and omissions of employees as performed and committed within the scope of their employment? | respondeat superior |
| Which defines a profession, delineates qualifications and responsibilities, and clarifies supervision requirements? | scope of practice |
Created by:
anastephens
Popular Health & Social Care sets