billing chapter 1 & 2
Quiz yourself by thinking what should be in
each of the black spaces below before clicking
on it to display the answer.
Help!
|
|
||||
|---|---|---|---|---|---|
| What is another title for reimbursement specialist? | health insurance specialist
🗑
|
||||
| Coding is the process of reporting | diagnoses, procedures, and services as numeric and alphanumeric characters on the insurance claim
🗑
|
||||
| Which professional is considered a health care provider | physician assistant
🗑
|
||||
| The mutual exchange of data between a provider and the payer is called: | electronic data interchange
🗑
|
||||
| Payment of claims may be denied if requirements are not met for which insurance rule | preauthorization
🗑
|
||||
| The HCPCS coding system consists of how many levels | two
🗑
|
||||
| Which of the following is a report that details to the patient the results of a processed claim | explanation of benefits
🗑
|
||||
| A health insurance specialist who exclusively files claims on behalf of patients would most likely pursue professional credentials with which organization | NEBA
🗑
|
||||
| An independent contractor should carry which type of insurance? | professional liability
🗑
|
||||
| Respondeat superior is Latin for which phrase? | Let the master answer
🗑
|
||||
| Medical malpractice insurance is considered what type of insurance? | liability
🗑
|
||||
| Which term or phrase defines the profession, delineates qualifications and responsibilities, and clarifies supervision requirements? | scope of practice
🗑
|
||||
| CHAMPUS stands for: | Civilian Health and Medical Plan of the Uniformed Services
🗑
|
||||
| CPT stands for: | current procedural terminology
🗑
|
||||
| The WHO, located in Geneva, Switzerland, is the originator of the ICD coding system. The acronym WHO is: | World Health Organization
🗑
|
||||
| Between 1965 and 1966, three government-sponsored programs for health care were instituted. These programs were: | Medicare, CHAMPUS, Veteran’s Administration
🗑
|
||||
| The government-regulated Medicaid program is also known as: | Title XIX or Title 19
🗑
|
||||
| If a liability insurer denies payment, a claim is filed with the patient’s insurance plan. What other documentation must accompany the claim? | copy of written denial of responsibility from liability insurer
🗑
|
||||
| Group health insurance is coverage available through whom | employers
🗑
|
||||
| A program responsible for providing health services to subscribers in a given geographical area for a fixed fee is known as a: | health maintenance organization
🗑
|
||||
| Which health care plan is designed for patients age 65 and older? | Medicare
🗑
|
||||
| When a person’s property is secured as payment for a debt, this is known as (a): | lien
🗑
|
||||
| The act that prohibits sharing of medical information among health insurers and financial institutions for use in making credit decisions is the | Financial Services Modernization Act
🗑
|
||||
| The Standard Unique Health Identifier for Health Care Providers is also known as the: | NPI
🗑
|
||||
| Which event would be covered by automobile liability insurance? | pain and suffering due to an accident
🗑
|
||||
| Diagnoses are coded using the HCPCS coding system. | true
🗑
|
||||
| For each procedure or service reported on a claim form, there must be a link to the condition that justifies the medical necessity of performing the procedure or service. | true
🗑
|
||||
| The insurance specialist is expected to accurately code diagnoses and procedures or services rendered by the provider(s) in a practice. | true
🗑
|
||||
| Because health insurance specialists are not providers of treatment, ethics are not important in their job. | true
🗑
|
||||
| Consulting is a viable career option for a professional health insurance specialist. | true
🗑
|
||||
| With respondeat superior, employees are free from any repercussions as a result of their negative actions or omissions while performing within the scope of their job. | fals
🗑
|
||||
| Disability insurance is designed to replace lost income as a result of a temporary or permanent illness or injury. | true
🗑
|
||||
| Liability insurance is a policy that covers losses caused by the insured, an object of the insured, or on the premises covered by the insured. | true
🗑
|
||||
| To file a liability claim, an insurance claim is always required. | false
🗑
|
||||
| In 1988, Medicare began requiring physician offices to enter ICD-9-CM codes on the claims submitted for reimbursement. | true
🗑
|
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:
506255616
Popular Medical sets