Intro to the Medical Billing Cycle
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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show | capitation
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show | coinsurance
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show | copayment
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the amount that an insured person must pay before reimbursement for medical expenses begins | show 🗑
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show | fee-for-service
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show | HMO-health maintenance organization
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a retroactive reimbursement method based on providers charges | show 🗑
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show | PPO-Preferred provider organization
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the amount of money paid to a health plan to buy an insurance policy | show 🗑
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show | schedule of benefits
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Spending on health care in the United States is rising due to what 2 factors | show 🗑
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show | increasing due to rising demands.
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What kind of medical services are annual physical examinations and routine screening procedures | show 🗑
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show | Insurance plan
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show | payments for covered medical services
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show | the patient
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show | payment of premium, deductible, and coinsurance
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A capitated rate is | show 🗑
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Correctly relating a patient's condition and treatment refers to | show 🗑
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Which of the following is required with a HMO patient is admitted to the hospital for nonemergency treatment? | show 🗑
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HMO's are regulated by | show 🗑
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Under a capitated rate for each plan member, who shares the risk? | show 🗑
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show | services listed on the schedule of benefits
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For a patient covered by an HMO, out-of-network means the provider is | show 🗑
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With a POS option under a HMO organization the patient may choose | show 🗑
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show | HMO network or out-of-network providers
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show | only HMO network providers
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show | any provider
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show | not required
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show | the deductible is met
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show | self-funded health plan
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What is an example of a private-sector payer | show 🗑
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show | Medicare
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show | Medicaid
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Step 1 of the medical billing cycle | show 🗑
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Step 2 of the medical billing cycle | show 🗑
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Step 3 of the medical billing cycle | show 🗑
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show | Check out patient
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Step 5 of the medical billing cycle | show 🗑
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Step 6 of the medical billing cycle | show 🗑
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Step 7 of the medical billing cycle | show 🗑
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show | Monitor payer adjudication
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show | Generate patient statements
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Step 10 of the medical billing cycle | show 🗑
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A patient ledger records what | show 🗑
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show | honesty and integrity
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show | professional ethics
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standards of professional behavior | show 🗑
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show | (AMT) American Medical Technologists
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Certified Medical Assistant (CMA) is awarded by | show 🗑
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show | (AHIMA) American Health Information Management Association
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Created by:
monicagunterman