Administrative Skills for the Medical Assistant
Quiz yourself by thinking what should be in
each of the black spaces below before clicking
on it to display the answer.
Help!
|
|
||||
|---|---|---|---|---|---|
| show | fee for service
🗑
|
||||
| show | insurance reimbursement based on fee charged and the service provided
🗑
|
||||
| capitation | show 🗑
|
||||
| show | amount of money paid to purchase health insurance or other insurance
🗑
|
||||
| show | a service covered by an insurance plan
🗑
|
||||
| show | each individual covered by the insurance
🗑
|
||||
| insured | show 🗑
|
||||
| show | payment by member each calender year before health insurance pays for any services
🗑
|
||||
| show | percentage the member must pay
🗑
|
||||
| show | fixed dollar amount the member must pay each time he or she receives services
🗑
|
||||
| show | insurance to whom the insurance claim must be sent first
🗑
|
||||
| show | insurance that covers an individual in addition to primary insurance
🗑
|
||||
| show | rules insurance companies use to coordinate insurance payments
🗑
|
||||
| show | primary insurance for a child covered by insurance of both parents is that of the parent whose birthday comes first in the calender year
🗑
|
||||
| show | participating provider; if physician has a contract or agreement with insurance carrier (must accept insurance carrier's determination of allowable fee)
🗑
|
||||
| nonPAR | show 🗑
|
||||
| show | obligation to compensate an individual for loss or damage
🗑
|
||||
| show | usual, customary and reasonable fee
🗑
|
||||
| medicare deductible amount | show 🗑
|
||||
| show | most commonly charged fee by the office for the service, what charged by other physicians in same geographic area, fee meets the criteria of usual and customary or other special circumstances
🗑
|
||||
| managed care | show 🗑
|
||||
| show | contract between patient and insurance company
🗑
|
||||
| claim | show 🗑
|
||||
| CMS | show 🗑
|
||||
| CMS-1500 | show 🗑
|
||||
| show | FFS
🗑
|
||||
| show | managed care organization
🗑
|
||||
| show | health maintainance orginazation
🗑
|
||||
| PPO | show 🗑
|
||||
| show | the difference between the amount charged for service and the amount allowed by insurance
🗑
|
||||
| PCP | show 🗑
|
||||
| show | point of service
🗑
|
||||
| show | diagnosis-related groups; system that classifies patients according to diagnosis, treatment, and length of hospital stay
🗑
|
||||
| RBRVS | show 🗑
|
||||
| Medicare Part A | show 🗑
|
||||
| Medicare Part B | show 🗑
|
||||
| show | medicare advantage plan; choice
🗑
|
||||
| show | covers medications
🗑
|
||||
| show | children's health insurance program; state programs to provide insurance for children whoses parents cannot afford health insurance for them
🗑
|
||||
| Tricare | show 🗑
|
||||
| CHAMPVA | show 🗑
|
||||
| show | directing a patient to a medical specialist by primary care physician
🗑
|
||||
| show | list of medications that are approved for prescription drug benefits
🗑
|
||||
| show | program in each state to cover medical care and lost wages for workers injured during employment
🗑
|
||||
| CPT | show 🗑
|
||||
| show | World Health Organization
🗑
|
||||
| show | international classification of diseases, 9th revision, clinical modification; for diagnosis
🗑
|
||||
| show | tabular list
🗑
|
||||
| show | alphabetic index
🗑
|
||||
| ICD-9 volume 3 | show 🗑
|
||||
| show | hospital aquired condition
🗑
|
||||
| NEC | show 🗑
|
||||
| show | not otherwise specified
🗑
|
||||
| show | something thats important to note that has happened in the past but current problem is related
🗑
|
||||
| show | factors that influence patient care
🗑
|
||||
| show | supplementary classification of external causes of injury and poisoning; never a stand alone or primary code
🗑
|
||||
| show | hypertension, neoplasms, drugs and chemicals
🗑
|
||||
| show | private
🗑
|
||||
| amount of americans that do not have health insurance | show 🗑
|
||||
| show | independant practice association
🗑
|
||||
| show | authorization from insurance company before service is provided
🗑
|
||||
| show | more strict then pre-authorization for services rendered over period of time
🗑
|
||||
| show | retired 65 & over, perminatly disabled for 2 years or longer, legally blind, retired railroad or some federal employee, end stage renal disease patients, kidney donors
🗑
|
||||
| show | maximum fee that can be collected per Medicare; 115% of medicare allowed charges
🗑
|
||||
| what must be done for a worker conpensation case? | show 🗑
|
||||
| what information is required for preauthorization? | show 🗑
|
||||
| who is considered a new patient? | show 🗑
|
||||
| show | patient that has been treated in the last 3 years
🗑
|
||||
| show | healthcare common procedure coding system
🗑
|
||||
| show | classify care given, justify medical services, collect ststistics about outcome and effectiveness of treatments, set fees
🗑
|
||||
| show | needed in addition to a CPT code if there are unusual circumstances related to the procedure
🗑
|
||||
| show | administration of medication that causes total or partial loss of sensation
🗑
|
||||
| what factors determine the level of service | show 🗑
|
||||
| what does not play a factor in E & M code selection | show 🗑
|
Review the information in the table. When you are ready to quiz yourself you can hide individual columns or the entire table. Then you can click on the empty cells to reveal the answer. Try to recall what will be displayed before clicking the empty cell.
To hide a column, click on the column name.
To hide the entire table, click on the "Hide All" button.
You may also shuffle the rows of the table by clicking on the "Shuffle" button.
Or sort by any of the columns using the down arrow next to any column heading.
If you know all the data on any row, you can temporarily remove it by tapping the trash can to the right of the row.
To hide a column, click on the column name.
To hide the entire table, click on the "Hide All" button.
You may also shuffle the rows of the table by clicking on the "Shuffle" button.
Or sort by any of the columns using the down arrow next to any column heading.
If you know all the data on any row, you can temporarily remove it by tapping the trash can to the right of the row.
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
Normal Size Small Size show me how
Created by:
jabert1
Popular Medical sets