What is the definition of revenue cycle?

All administrative and clinical functions which ensure that sufficient monies flow into the practice to pay bills.

Describe the process of adjudication.

The payer's process of putting a claim through a series of steps designed to judge whether it should be paid.

Practice management programs may be used for

Scheduling appointments, financial record keeping, and billing

In general, how do the cost of policies written for groups compare to those written for individuals?

Policies written for groups are cheaper

Pick the most accurate definition of certification.

Recognition of a superior level of skill by an official organization

What adds up to form a practice’s accounts receivable?

Money due from both health plans and patients

Help

Options

focusNode

Didn't know it?
click below

Knew it?
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

Chap 1 Quiz

Medical Billing and Coding

Question	Answer
What is the definition of revenue cycle?	All administrative and clinical functions which ensure that sufficient monies flow into the practice to pay bills.
Determine which of the following types of services a health plan will not pay for.	Noncovered services
In a medical practice, cash flow is required to	Pay for office expenses
Describe the process of adjudication.	The payer's process of putting a claim through a series of steps designed to judge whether it should be paid.
A computerized lifelong health care record for an individual that incorporates data from all sources is known as a(n)	Electronic health record (EHR)
The most important characteristic for a medical insurance specialist to possess is	Professionalism
Practice management programs may be used for	Scheduling appointments, financial record keeping, and billing
Dependents of a policyholder may include his/her	Spouse and children
Collecting copayments is part of which revenue cycle step?	Step 3, check in patients.
Courteous treatment of patients who visit the medical practice is an example of medical	Etiquette
Which of the following is an example of a private-sector payer?	Insurance company
What type of insurance reimburses income lost because of a person's inability to work?	Disability insurance
In general, how do the cost of policies written for groups compare to those written for individuals?	Policies written for groups are cheaper
Which term best describes medical services that meet professional medical standards?	Medical necessity
What kind of medical services are annual physical examinations and routine screening procedures?	Preventive
When is a deductible paid?	Before benefits begin
Pick the most accurate definition of certification.	Recognition of a superior level of skill by an official organization
In what format are health care claims sent?	Electronic or hard copy
Identify the type of service that is not considered to be a preventive medical service.	Outpatient surgery
Determine which of the following entities is not considered a provider.	Insurance companies
Professional organizations generally have a(n) __________Blank that its members should follow/possess.	Code of ethics
Where do medical insurance companies summarize the payments they may make for medically necessary medical services?	Schedule of benefits document
What adds up to form a practice’s accounts receivable?	Money due from both health plans and patients
According to the textbook, pick the rising occupation in the health care industry that requires the employee to have the highest level of proficiency in dealing with the public professionally and pleasantly.	Medical assistant
Which of the following covers patients who are age 65 and over?	Medicare

Created by: Tagcal

"Know" box contains:
Time elapsed:
Retries: