Save
Busy. Please wait.
Log in with Clever
or

show password
Forgot Password?

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

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.
focusNode
Didn't know it?
click below
 
Knew it?
click below
Don't know
Remaining cards (0)
Know
0:00
share
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

MAA 102 Final Review

QuestionAnswer
Common errors on insurance claim forms that may be result in a claim being denied. 1.Wrong date 2. Charges not itemized 3.Missing /incomplete/invalid procedure codes
The _ _ is the date the services were performed. Date of service
an agency that handles claims and payment? 3rd party administrator
UCR may be different from the providers - -? Actual charges
When preparing ORC scannable claims, be sure to use a - date format. Month day, year
With TRICARE, the service member is called the - ? Sponsor
Individuals who are eligible for CHAMPVA - eligible for TRICARE. NOT
TRICARE is administered on a - basis Regional
With CHAMPVA, the - shares the cost of services and supplies with eligible beneficiaries The VA
indemnity plans often have annual - and a - for each visit. annual deductible and co-pay
indemnity plans are also called - for - plans Fee-for-Service
the max a 3rd party allow for a charge for service allowable charge
-of- allows/authorizes the insurance company to pay directly to the provider. Assignment of benefits
PPO, HMO,EPO, and POS are all examples of _ managed care plans
one advantage of a managed care plan is - Lower out-of-pocket costs
An example of a cafeteria plan is a - - - Flexible spending account
insurance you get through your job, coverage is available to all. Group Health Plan
When a patient pays a % of care? coinsurance
The out of pocket amount paid before health coverage goes into effect Deductible
Money collected at time of service copay
Individual who pays the premium policy holder
Workers comp is a - system. no fault
workers comp benefits include 1. Medical expenses 2. Vocational rehab 3. Disability pay 4. death benefits
Type of insurance that may be provided to patients injured on the job. worker's compensation
- allows other health plans to continue health coverage beyond cobra period COBRA
Mandatory Benefits states must provide to receive federal matching funds from MEDICAID list them 1. Impatient hospital services 2.outpatient hospital services 3. Early and periodic screening 4. Nursing facilities 5.labs and x-ray 6.certified pediatric 7.tobacco cessation 8.family planning services 9 Diagnostic services
Medicaid is run by - and - - within federal quide lines State and local government
Medicaid patients usually pay - % of their treatment with covered services 0%
Medicaid is a - program. Assistance
Medicare is run by - CMS
Medicare patients pay part of their cost through - deductibles
Medicare is an - program insurance company
A document from a provider that lists items/services is a - ABN patient must sign
The paper claim form is called the - CMS - 1500 Center for medicare services
If a person has medicaid and medicare which one is primary? Medicare
The - is the policy holder Beneficiary
With social security you are automatically enrolled in part - medicare Part A
Part - is prescription medication coverage Medicare Part D
part - choice of managed care plans Medicare Part C
Part - pays for physicians fees diagnostic test and some screening Medicare Part B
part- pays hospital services (usually free) Medicare Part A
Glyc/o Sugar/glucose
Nephr/o Kidney
-emia Blood/blood condition
cost/o Rib
neo New
when CPT code and diagnosis code do not match up down coding
When providing "pain management" services for workers comp patients, you must submit a - - using appropriate CPT-HCPCS for services Prior Authorization
If multiple modifiers are being used when coding the first modifier used is 99
E/M codes usually begin with/ - 99
CPT codes are - digits and can be further defined by - digit modifiers 5 digits , 2 Digits
ICD-10-CM: VOL. 2 is the - and VOL 1 is the - vol 2 = index Vol 1 = Tabular list
The updated version of the ICD-9 is the - ICD-10-CM
Z codes describe Circumstances other that disease, injury or external causes.
A "X" in ICD-10-CM codes is a - place holder
ICD-10-Cm 1st Character is a - letter
The first step when using ICD_10_CM is to- locate the term within the alphabetic index
NPI Numbers are issued by - CMS
Created by: shawnna1764
Popular Medical sets

 

 



Voices

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:
Retries:
restart all cards