Exam
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show | 1. Medical Terminology
2. Human Biology
3. Critical reading skills
4. excellent communication skills
5. good computer skills
6, math skills
7. application knowledge of medical insurance
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show | Critical Reading Skills
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show | Medical Terminology
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show | - Listening
- Speaking
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show | - Smiling
- An open and relaxed posture
- A light touch on the arm to comfort a patient in distress
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show | - Being friendly to coworkers
- Being calm and supportive of patients
- Being attentive to your supervisors
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What are some basic computer hardware knowledge? | show 🗑
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show | CPU- Central Processing Unit
RAM- Random Access Memory
ROM- Read Only Memory
Database- A collection of related files that serves as a foundation
for retrieving data
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show | CPU
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show | RAM
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Permanently holds programs and other info used | show 🗑
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A collection of related files that serve as a foundation for retreiving data | show 🗑
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show | referred to as biomedical and clinical databases.
meaning the ability to save, retrieve, and backup files as necessary.
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show | -ICD-10-CM
-CPT
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show | used to code diagnoses
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CPT | show 🗑
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show | Coding
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Why is managing insurance payments crucial? | show 🗑
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show | -consult with a physician for clarification of data
-code information from medical records
-verify fee schedules or sheets
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Professional or Medical Etiquette | show 🗑
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The unauthorized release of confidential patient informationto a third party. | show 🗑
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Demonstrating the "Need to Know" | show 🗑
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from a legal standpoint what raises critical issues in patient confidentiality? | show 🗑
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show | Fraud
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Submitting Claims for items or services that are not medically necessary to treat the patient's condition | show 🗑
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show | Traditional Insurance
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Federal insurance program for senior citizens age 65 or older and retired | show 🗑
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show | Medicaid (Government Sponsored)
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Provides civilian health benefits for military personnel, military retirees, and their dependents, including some members of the Reserve Component. | show 🗑
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show | Disability Insurance
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Examples of Liability Insurance : | show 🗑
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show | The policy is usually covered by the custodial parent primarilly (unless ordered otherwise by the court)
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A specified amount of annual out-of-pocket expenses for covered health care services the insured must pay to a health care provider before the the insurer pays benefits | show 🗑
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The percentage paid by the insurance carrier or that paid by the insured. After the spplication of the deductible to the submitted bills, the insurance policy pays a percentage of the remaining amount. | show 🗑
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Participating Provider | show 🗑
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CMS-1500 | show 🗑
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show | 1977 federal law that outlines collection practices. Collection calls are only to be done between the hours of 8am and 9pm.
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show | 1. Patient's name, address, phone numbers, social security
number, and date of birth. (If the patient is a minor- obtain the
name of the parent or guardian.
2. the reason for the appointment
3. if the patient has insurance
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Who should sign an Authorization for Release of Medical Information Form? | show 🗑
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show | the financial record source document used by health care providers
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An alphanumerical desination for a specific illness, injury, or disease | show 🗑
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The insurance form used to report provider services is known as the? | show 🗑
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The bottom of the CMS-1500 form is | show 🗑
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some reasons for Claim rejections: | show 🗑
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The Explanation of Benefits Form (EOB) | show 🗑
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show | 3 seperate provisions that govern phsician self-referral patients.
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"Stark II" | show 🗑
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