Billing and Coding Final Exam Questions and Answers Already Passed

Billing and Coding Final Exam Questions and Answers Already Passed A claims assistance professional (CAP) acts as an informal representative of patients and helps patients interpret insurance contracts. False Which level of education is generally required for one who seeks employment as an insurance coder? c) Completion of an accredited program for coding certification The amount of money an insurance billing specialist earns is dependent on which factors? d) All of the above: knowledge, experience, size of employing institution Medical etiquette refers to... a) consideration for others A billing specialist is entrusted with.... d) All of the above: holding patients' medical information in confidence, collecting monies, being a reliable resource for coworkers Standards of conduct by which an insurance billing specialist determines the propriety of his or her behavior in a relationship are know as medical _____. ethics It is _____ to report incorrect information to private insurance carriers because this can possible damage the individual and the integrity of the database. unethical The Office of Civil Right enforces... privacy and security rules. Privileged information is related to the treatment and progress of patients. True The focus on the health care practice setting and reducing administrative costs and burdens are the goals of... HIPAA Title II Administrative Simplification Which 3 measures should be taken by a coder who has knowledge of fraud or abuse? Notify the provider verbally and in writing; document the false statement or representation; don't discuss the problem with anyone who is not involved The contract is a worker's comp case exists between the... physician and insurance company In health insurance, the insured is also known as subscriber, or member, or policyholder, or recipient. If a child has health insurance coverage from 2 parents, according to the birthday law... the health plan of the person whose birthday (month and day, not year) falls earlier in the calendar year pays first. If same b-day, person whose policy has been in effect longest. Conditions that existed and were treated before the health insurance policy was issued are called... pre-existing conditions The act created to protect workers and their families so that they can get and maintain health insurance if they change or lose their jobs is called the HIPAA Assignment of benefits is... the transfer of one's legal right to collect an amount payable under an insurance contract. The SOAP in patient medical record charting may be difined