ACI - Medical Billing and Coding
Quiz yourself by thinking what should be in
each of the black spaces below before clicking
on it to display the answer.
Help!
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| Money leftover | Profit
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| Medical Record | Legal document of patient assessment
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| 1st Party | Patient
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| 2n Party | Provider
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| 3rd Parth | Health Insurance Co.
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| Name the two types of health insurance | Government and Private
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| Define each letter of S.O.A.P. | S - Subjective, O - Objective, A - Assessment,
P - Plan of treatment
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| In S.O.A.P., give a brief description of "S" | "S" is subjective data, data that is not measurable such as "I have a bad cough", "I am in a lot of pain."
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| In S.O.A.P., give a brief description of "O" | "O" is objective data, data that is measurable such as a blood pressure, temperature, etc. reading. Pain expressed as a number from 1-10.
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| In S.O.A.P., give a brief description of "A" | "A" is the healthcare provider's assessment of the patient such as hypertension, sprain.
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| In S.O.A.P., give a brief description of "P" | "P" is the plan of treatment that the healthcare provider has set for the patient.
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| What is E.O.B.? | Explanation of benefits
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| What is E.O.M.B.? | Explanation of medical benefits
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| Define clean claim |
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| Define clearinghouse. |
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| Define prior authorization |
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| Define referral |
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| Give a brief explanation of the "birthday rule." | When a husband, wife have a child and then divorce the child is carried on the policy of the parent whose birthday comes first in the calendar year.
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| Give an example of how the "birthday rule" is applied. | Dad's birthday is Jan. 2, 1963, Mom's birthday is May 3, 1962. Mom is older but Dad's birthday (Jan.) comes first in the calendar year.
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Created by:
laholbein
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