answered already passed
1. Claims be rejected or underpaid if the CPT code is not backed up with
doc-
umentatio
n
2. The fixed amount of money that an insured co-payment
patient is required to pay each time he or she
receives treatment is called the
3. Julie Ann's is serving in the Marine Corps. TRICARE
Julie's med- ical care is covered by
4. When the office accepts payments directly assignment of benefits.
from the insurance company, it is called
5. The insurance plan for the indigent is Medicaid
6. Margo and Rob both work and participate in the health coordination of
benefits
insurance plans offered by their separate
employers. When Margo and Rob use their
insurance, they are regulated by a term known
as
7. Under the HMO concept, there is only a a co-payment
8. Patients who are injured at work and covered insurance
under worker's compensation should information
is correct is
9. The federal insurance plan that provides for to
services for the elderly and disabled is
10. A good way to make sure that a patient's
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17
,Chapter 8 Insurance NRCAHA questions well
answered already passed
have separate medical fi- nancial records make a photocopy of
the patient's insurance
Medicare card and keep it in the
file.
11. CHIP
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17
, Chapter 8 Insurance NRCAHA questions well
answered already passed
There is a federally mandated and state-run
children's health improvement program for
the so-called work- ing poor. The program is
known as
numbers and letters
12. In order to be used for a coding system,
classification systems must be composed of
13. Medicare claims are administered by CMS
14. The type of insurance plan that reimburses fee-for-service
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
CHAMPVA
15. Tom Bloom is a disabled serviceman whose
disability is caused by service-related injuries.
What insurance plan covers his wife and
children? premium
16. All insurance must be paid for. This payment
is called the Diagnostic-
Related Groups
17. Payments for claims under Medicare Part A are (DRGs)
based on
CMS-1450
18. The form is by hospitals which is basically a
summary document that is supported by a
detailed bill is the
19. The insurance plan that cares for families in which the TRICARE
Prime
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