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Boot Camp Test

Enter the letter for the matching Answer
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1.
What function/action do you use to make shell invoice?
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2.
Do we accept Medi-Cal?
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3.
What does Scripps Clinic Business Services do?
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4.
What is an EPO?
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5.
What does PMA stand for?
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6.
What is a Commercial Insurance?
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7.
What function is patient inquiry?
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8.
What is the Golden Rule of Assertive Behavior?
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9.
How does a team player accept ownership of problems?
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10.
What is the professional component?
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11.
What is a PPO?
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12.
What is Medicare Part B?
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13.
What is global service?
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14.
What does SHPS (Scripps Health Plan Services) do?
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15.
Where can you do multi-invoice FSC transfer?
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16.
What is a CPT code?
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17.
What is Worker's Compensation?
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18.
How do you add or edit CSRS?
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19.
What function/action do you use for refunds?
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20.
What function/action is dictionary?
A.
All of the physician's work, including interpretation and report of the procedure. Also includes cost of education, malpractice insurance, and other expenses incidental to maintaining a practice.
B.
Patient Management Application
C.
Current Procedural Terminology. Describes medical, surgical, and diagnostic services.
D.
Accepts responsibility for solving problems, does not assign blame to others, does not make excuses, and does not present a problem to management without a proposed solution.
E.
No-fault system where injured workers receieve medical and compensation benefits, no matter who causes the accident.
F.
Fee-for-service, but no out-of-network benefits. Services must be accessed through an in-network PMG.
G.
Any type of insurance we are not contracted with. Also called an indemnity plan.
H.
Billing and collections performed by Scripps Clinic Medical Group ONLY
I.
Function 92, Activity 1
J.
Function 4, Activity O
K.
Coverage for outpatient medical benefits.
L.
Provides managed care administrative services to SCMG, MPMG, and SCMC.
M.
Be honest, courteous, and responsible
N.
Function 2, Activity E
O.
Function 6, Activity 101
P.
Function 13, Activity 5
Q.
The complete, 100% cost of a procedure (includes professional and technical component).
R.
No - only at physician's discretion or when it is secondary to Medicare.
S.
49
T.
Preffered Provider Organization.
Type the Answer that corresponds to the displayed Question.
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21.
What license does SHPS have?
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22.
What should you communicate in an apology?
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23.
Listen __, Talk __.
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24.
Where would we send electronic OR manual claims to?
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.
Health Insurance Portability and Accountability Act
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27.
The Dept. of Defense's worldwide healthcare program for active-duty and retired uniformed service members and their families.
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28.
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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