Chapter 8 Insurance NRCAHA Questions With 100% Correct Solutions.

Claims be rejected or underpaid if the CPT code - Answer-is not backed up with documentation The fixed amount of money that an insured patient is required to pay each time he or she receives treatment is called the - Answer-co-payment Julie Ann's is serving in the Marine Corps. Julie's medical care is covered by - Answer-TRICARE When the office accepts payments directly from the insurance company, it is called - Answerassignment of benefits. The insurance plan for the indigent is - Answer-Medicaid Margo and Rob both work and participate in the health insurance plans offered by their separate employers. When Margo and Rob use their insurance, they are regulated by a term known as - Answer-coordination of benefits Under the HMO concept, there is only a - Answer-a co-payment Patients who are injured at work and covered under worker's compensation should - Answer-have separate medical financial records The federal insurance plan that provides for services for the elderly and disabled is - AnswerMedicare A good way to make sure that a patient's insurance information is correct is to - Answer-make a photocopy of the patient's insurance card and keep it in the file. There is a federally mandated and state-run children's health improvement program for the so-called working poor. The program is known as - Answer-CHIP In order to be used for a coding system, classification systems must be composed of - Answernumbers and lettersMedicare claims are administered by - Answer-CMS The type of insurance plan that reimburses all or part of the costs of services, provided that the charge is usual, customary and reasonable for that particular service in that part of the country, is knowns as - Answer-fee-for-service Tom Bloom is a disabled serviceman whose disability is caused by service-related injuries. What insurance plan covers his wife and children? - Answer-CHAMPVA