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MOD 3 IHMO final

QuestionAnswer
The maximum amount of time for which benefits will be paid to the injured or ill person for a diaability is called benefit period
The most common method of payment in the medical office is personal check
when collecting fees, your goal should always be to collect the full amount
An attachment to an insurance policy that excludes certian illnesses or disabilities that would otherwise be covered is referred to as a waiver
The patient is likely to be the most cooperative in furnishing details necessary for a complete registration process before any service are provided
Funding for state disability insurance is usually a small percentage of the employee's wage that all of these
A plan in which employees can choose their own working hours from within a broad range of hours approved by management is called flex time
Residual benefits pay a partial benefit when the insured is not totally disabled
What should be done if an insurance claim denial is received because a billed service was not a program benefit? send the patients a statement with a notation of the response from the insurance company
The first document obtained in the inital patient visit is a patient information form
Coverage that provides a specific monthly or weekly income when a person is unable to work because of an illness or injury is known as disability income insurance
Cash flow is the ongoing availability of cash in the medical practice
Condition that existed and were treated before the health insurance policy was issued are called preexisting
A policy that offers an insured person protection when loss of sight or loss of limbs occurs is called dismemberment benefit
In 1956, Congress established a program under Title II of the Social Security Act for long-term disabilty known as social security disability insurance
What is the type of billing system in which practice management software is used? computer billing
Provisions written into the insurance contract denying coverage or limiting the scope of coverage are called exclusions
the first level of appeal in the medicare program is redetermination
Disability income insurance is available from all of these
the act created to protect worker and their families so that they can get and maintain health insurance if they change or lose their jobs is called HIPAA
The Supplemental Security Income (SSI) program under Title XVI of the Social Sercurity Act provides disability payments to needy people with limited income and few resources
Most legal issues of private health inurance claim fall under civil law
Employment of a billing service is called outaourcing
Which group of accounts would a collector target when he or she begins making phone calls? 60 to 90 day accounts
What is the time limit for a veteran to file a claim to receive outpatient treatment at VA expense for a service connected disability? within 1 year of sustaining the injury
An insurance claim with an invalid procedure code would be rejected
if an insurance claim has been lost by the insurance carrier, the procedures to follow is to all of these
in health insurance, the insured is also called all of these
the part of the legal system that allows laypeople to settle a legal matter without use of an attorney is the small claims court
How may levels of review exist for TRICARE appeal procedures? Three
What is card called that permits bank customers to make cashless purchases from funds on deposit without incurring revolving finance charges for credit? Debit card`
When writing acollection letter use a friendly tone and ask why payment has not been made
Pending or resubmitted insurance claims maybe tracked through a tickler file
When downcoding occurs, payments will be less
What should be done to informa new patients of office fees and payment policies all of these
Created by: Maranda87
 

 



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