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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.
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Question
Answer
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