Busy. Please wait.
Log in with Clever

show password
Forgot Password?

Don't have an account?  Sign up 
Sign up using Clever

Username is available taken
show password

Make sure to remember your password. If you forget it there is no way for StudyStack to send you a reset link. You would need to create a new account.
Your email address is only used to allow you to reset your password. See our Privacy Policy and Terms of Service.

Already a StudyStack user? Log In

Reset Password
Enter the associated with your account, and we'll email you a link to reset your password.
Didn't know it?
click below
Knew it?
click below
Don't Know
Remaining cards (0)
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


Health Ins and Claims Chapter 1

AAPC American Academy of Professional Coders (
AHIMA American Health Information Management Association
This insurance agreement guarantees repayment for financial losses resulting from an employee's act or failure to act. bonding insurance
What is the name of the administrative agency within the federal Department of Health and Human Services formerly called HCFA? Centers for Medicare and Medicaid Services (CMS)
Alphanumeric codes and descriptors for procedurea nad services performed by providers Current Procedural Terminology (CPT)
Mutual electronic exchange of data between the provider and insurance company electronic data interchange (EDI)
What is another term for professional liability insurance? errors and omissions insurance
The principles of right or good conduct, and rules that govern the conduct of members of a profession. ethics
What report detailing the results of processing a claim does the patient receive? explanation of benefits (EOB)
Five-digit alphanumeric codes for procedures, services, and supplies not classified in CPT. HCPCS level II codes
HCPCS Healthcare Common Procedure Coding System
If the insurance plan has this in their contract the patient is not responsible for paying what the insurance plan denies. hold harmless clause
A person who performs services for another under an express or implied agreement and who is not subject to the other's control, or right to control, of the manner and means of performing the services. independent contractor
prior approval for treatment by specialist and documentation of post-treatment reports is called what? preauthorization
What insurance 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 liability insurance
What report detailing the results of processing a claim is received by the provider? remittance advice (remit)
What is it called when you link every procedure or service code reported on the claim to an ICD-9-CM condition code that justifies the necessity for performing that procedure or service? medical necessity
HCPCS consists of how many levels? two: level 1 CPT; level II national codes
Created by: Kcompleta
Popular Medical sets




Use these flashcards to help memorize information. Look at the large card and try to recall what is on the other side. Then click the card to flip it. If you knew the answer, click the green Know box. Otherwise, click the red Don't know box.

When you've placed seven or more cards in the Don't know box, click "retry" to try those cards again.

If you've accidentally put the card in the wrong box, just click on the card to take it out of the box.

You can also use your keyboard to move the cards as follows:

If you are logged in to your account, this website will remember which cards you know and don't know so that they are in the same box the next time you log in.

When you need a break, try one of the other activities listed below the flashcards like Matching, Snowman, or Hungry Bug. Although it may feel like you're playing a game, your brain is still making more connections with the information to help you out.

To see how well you know the information, try the Quiz or Test activity.

Pass complete!
"Know" box contains:
Time elapsed:
restart all cards