HIT 203 Exam Questions With Verified Answers

HIT 203 Exam Questions With Verified Answers In the United States, what is healthcare insurance? - ANS Reduction of a person's or group's exposure to risk for unknown healthcare costs by the assumption of that risk by an entity The physician's office sent a request for payment to Able Insurance Company. The term used in the healthcare industry for this request for payment is a(n): - ANS claim all of the following are discounted fee-for-service healthcare payment methods except - ANS ACO A patient say a neurosurgeon for treatment of a nerve that was severed in an industrial accident. The patient worked for Basic Manufacturing Company where the industrial accident occurred. Basic Manufacturing carried workers' compensation insurance. The workers' compensation insurance paid the fees of the neurosurgeon. Which entity is the "third-party"? - ANS Workers' Compensation Insurance In which type of reimbursement methodology do healthcare insurance companies reimburse providers after the costs have been incurred? - ANS retrospective payment The financial manager of the physician group practice explained that the healthcare insurance company would be reimbursing the practice for its treatment of the exacerbation of congestive heart failure that Mrs. Zale experienced. The exacerbation, treatment, and resolution covered approximately five weeks. The payment covered all the services that Mrs. Zale incurred during the period. What method of reimbursement was the physician group practice receiving? - ANS episode-of-care