Wookbook Chap 1 Test
Enter the letter for the matching Answer
| A. Errors and omissions insurance.B. Insurance billing specialist
Medical Billing respresentative
Reimbursement specialistC. Abstracts health info from patient records
Operates computer to create & transmit claims
Acts as a link between the provider & third-party payers
Insurance counselor to patients
Bills secondary insurance and patients
Updates knowledgeD. When a physician is legally responsible for an employee;s conduct performed during employment.E. Help patients organize, file & negotiate health claims
Assist consumer in getting maximum benefits
Tells patients how much to pay providers to avoid overpayment.F. Hospitals, acute care hospitals, skilled nursing & long term care facilities, rehabilitation centers & ambulatory surgical centers.G. Knowledge of medical terminology, anatomy & physiology
Expert use of procedural and diagnostic codes
Precise reading skills
Basic math
Knowledge of compliance, billing & collection techniques
Basic keyboarding & computer skills
Generate claims H. Physician assistant, nurse practictioner, certified nurse anesthetist, physical therapist, speech therapist, LCSW, certified registered nurse practicioner.I. Electronic Claims ProcessorJ. 1. Failure to verify insurance benefits
2. Failure to obtain authorization or pre-certification
3. Failure to collect copays and deductibles
4. Inadequate claims filing |
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