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Boot Camp Test

Enter the letter for the matching Answer
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1.
What is a root word?
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2.
Which TriCare plans do we accept?
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3.
Do we accept Medi-Cal?
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4.
What function is patient inquiry?
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5.
What is an AOL?
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6.
What does SHPS (Scripps Health Plan Services) do?
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7.
What is the technical component?
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8.
How does a team player act with integrity?
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9.
What is global service?
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10.
What is the Golden Rule of Assertive Behavior?
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11.
What is a CPT code?
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12.
What is a Commercial Insurance?
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13.
What function/action are for claims?
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14.
What is Third Party Liability (TPL)?
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15.
What function/action do you use for refunds?
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16.
What is bundling/unbundling?
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17.
How do you add or edit CSRS?
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18.
How does a team player demonstrate accountability and reliability?
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19.
What does PMA stand for?
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20.
What function/action are patient registration?
A.
Be honest, courteous, and responsible
B.
Any type of insurance we are not contracted with. Also called an indemnity plan.
C.
Function 92, Activity 1
D.
Unbundling: seperating units that might otherwise be packaged together. Bundling: putting together units that should be packaged seperate. THIS IS FRAUD.
E.
Assumption of Liability form - must be signed for EPO
F.
The provision of equipment, supplies, technical personnel, and costs related to performance of a procedure other than the professional service.
G.
Standard, For Life, and ChampVA.
H.
When someone causes injury to another person either by act or omission. They become liable for the damages. SCRIPPS CLINIC DOES NOT DO THIRD PARTY BILLING.
I.
Function 1, Activity 1
J.
The complete, 100% cost of a procedure (includes professional and technical component).
K.
49
L.
The foundation of the word.
M.
Willingly accepts job responsibilities, exhibits ownership of tasks, work consistently meets expectations
N.
Provides managed care administrative services to SCMG, MPMG, and SCMC.
O.
Function 30, Activity 7
P.
Current Procedural Terminology. Describes medical, surgical, and diagnostic services.
Q.
Is approachable, fair, non-judgemental, keeps promises, and does not engage in acts of retribution
R.
Function 4, Activity O
S.
Patient Management Application
T.
No - only at physician's discretion or when it is secondary to Medicare.
Type the Answer that corresponds to the displayed Question.
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21.
Where would we send electronic OR manual claims to?
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22.
What license does SHPS have?
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23.
Listen __, Talk __.
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24.
What should you communicate in an apology?
Type the Question that corresponds to the displayed Answer.
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25.
Providers are paid a fixed per-capita (per-person) amount for each patient enrolled in the HMO over a certain period of time. CLAIMS ARE NOT SUBMITTED TO THE HEALTH PLAN.
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26.
The Dept. of Defense's worldwide healthcare program for active-duty and retired uniformed service members and their families.
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27.
Federal health insurance program for people 65 and older; certain younger people w/ disabilities; and people w/ end-stage renal disease.
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28.
Health Insurance Portability and Accountability Act

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Created by: mhillsd
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