MED CERT TEST PAPER QUESTIONS AND SOLUTIONS
RATED A+
✔✔Explanation of Benefits (EOB) - ✔✔A record of a patient's fees.
✔✔First-Class Mail - ✔✔Sealed or unsealed typed or handwritten material, including
letters, postal cards, postcards, and business reply mail
✔✔Guarantor - ✔✔Person or entity responsible for the remaining payment of services
after insurance has paid
✔✔Health history form - ✔✔Form that asks patients to list any illnesses or surgeries
they have had, family history, medications taken, chronic health issues, allergies, and
other physicians they consulted
✔✔Health maintenance organization (HMO) - ✔✔Plan that allows patients to only go to
physicians, other health care professionals, or hospitals on a list of approved providers,
except in an emergency
✔✔Implied consent - ✔✔A patient presents for treatment, such as extending an arm to
allow a venipuncture to be performed
✔✔Inactive files - ✔✔Section of medical charts for patients the provider has not seen for
6 months or longer
✔✔Informed consent - ✔✔Providers explain medical or diagnostic procedures, surgical
interventions, and the benefits and risks involved, giving patients an opportunity to ask
questions and consent before medical interventions is provided
✔✔Liabilities - ✔✔The equity of those to whom money is owed (creditors).
✔✔living will - ✔✔Document that spells out what kind of treatment a patient wants in the
events that he can't speak for himself. Also known as advance directive
✔✔managed care organization - ✔✔Organization developed to manage the quality of
health care and control costs
✔✔Matrix - ✔✔A grid with time slots blocked out when physicians are unavailable or the
office is closed
✔✔Medicaid - ✔✔A government based health insurance option that pays for medical
assistance for individuals who have low incomes and limited financial resources funded
at the state and national level administered at the state level
, ✔✔Medicare - ✔✔Federally funded health insurance provided to people age 65 or older
people younger than 65 who have certain disabilities and people of all ages with the end
stage kidney disease
✔✔Medicare Part A - ✔✔Provides hospitalization insurance to eligible individuals.
✔✔Medicare Part B - ✔✔Voluntary supplemental medical insurance to help pay for
physicians and other medical professionals services, medical services and medical
surgical supplies covered by Medicare part a
✔✔Medicare Part D - ✔✔A plan run by private insurance companies and other vendors
approved by Medicare to cover the cost of approved prescriptions
✔✔modified wave booking - ✔✔schedule two patients at 9a.m and one at 9:30 this
hourly cycle is repeated through the day
✔✔National provider identifier (NPI) - ✔✔Unique 10 digit code for providers required by
HIPPA
✔✔Notice of Privacy Practices - ✔✔Document informing a patient of when and how
their PHI can be used
✔✔Occupational Safety and Health Administration (OSHA) - ✔✔Part of the US
department of labor with the mission to ensure workplace safety and a healthy working
environment
✔✔open booking (tidal wave scheduling) - ✔✔Patients are not scheduled for a specific
time, but told to come at intermittent times they are seen I the order in which they arrive
✔✔Petty cash fund - ✔✔A small amount of cash available for expenses such as
postage parking fees small contributions emergency supplies and miscellaneous small
items
✔✔Preauthorization - ✔✔Formal approval from the insurance company that it will cover
the test or procedure
✔✔Preferred Provider Organization (PPO) - ✔✔Plan that allows patients to use
physicians, specialist, and hospitals in the plans network and receive a greater discount
on services
✔✔Premium - ✔✔A pre-established amount set by the insurance company and paid
regularly usually on a monthly basis by the patient or an employer
✔✔priority mail - ✔✔first class mail that weighs more than 13 ounces
RATED A+
✔✔Explanation of Benefits (EOB) - ✔✔A record of a patient's fees.
✔✔First-Class Mail - ✔✔Sealed or unsealed typed or handwritten material, including
letters, postal cards, postcards, and business reply mail
✔✔Guarantor - ✔✔Person or entity responsible for the remaining payment of services
after insurance has paid
✔✔Health history form - ✔✔Form that asks patients to list any illnesses or surgeries
they have had, family history, medications taken, chronic health issues, allergies, and
other physicians they consulted
✔✔Health maintenance organization (HMO) - ✔✔Plan that allows patients to only go to
physicians, other health care professionals, or hospitals on a list of approved providers,
except in an emergency
✔✔Implied consent - ✔✔A patient presents for treatment, such as extending an arm to
allow a venipuncture to be performed
✔✔Inactive files - ✔✔Section of medical charts for patients the provider has not seen for
6 months or longer
✔✔Informed consent - ✔✔Providers explain medical or diagnostic procedures, surgical
interventions, and the benefits and risks involved, giving patients an opportunity to ask
questions and consent before medical interventions is provided
✔✔Liabilities - ✔✔The equity of those to whom money is owed (creditors).
✔✔living will - ✔✔Document that spells out what kind of treatment a patient wants in the
events that he can't speak for himself. Also known as advance directive
✔✔managed care organization - ✔✔Organization developed to manage the quality of
health care and control costs
✔✔Matrix - ✔✔A grid with time slots blocked out when physicians are unavailable or the
office is closed
✔✔Medicaid - ✔✔A government based health insurance option that pays for medical
assistance for individuals who have low incomes and limited financial resources funded
at the state and national level administered at the state level
, ✔✔Medicare - ✔✔Federally funded health insurance provided to people age 65 or older
people younger than 65 who have certain disabilities and people of all ages with the end
stage kidney disease
✔✔Medicare Part A - ✔✔Provides hospitalization insurance to eligible individuals.
✔✔Medicare Part B - ✔✔Voluntary supplemental medical insurance to help pay for
physicians and other medical professionals services, medical services and medical
surgical supplies covered by Medicare part a
✔✔Medicare Part D - ✔✔A plan run by private insurance companies and other vendors
approved by Medicare to cover the cost of approved prescriptions
✔✔modified wave booking - ✔✔schedule two patients at 9a.m and one at 9:30 this
hourly cycle is repeated through the day
✔✔National provider identifier (NPI) - ✔✔Unique 10 digit code for providers required by
HIPPA
✔✔Notice of Privacy Practices - ✔✔Document informing a patient of when and how
their PHI can be used
✔✔Occupational Safety and Health Administration (OSHA) - ✔✔Part of the US
department of labor with the mission to ensure workplace safety and a healthy working
environment
✔✔open booking (tidal wave scheduling) - ✔✔Patients are not scheduled for a specific
time, but told to come at intermittent times they are seen I the order in which they arrive
✔✔Petty cash fund - ✔✔A small amount of cash available for expenses such as
postage parking fees small contributions emergency supplies and miscellaneous small
items
✔✔Preauthorization - ✔✔Formal approval from the insurance company that it will cover
the test or procedure
✔✔Preferred Provider Organization (PPO) - ✔✔Plan that allows patients to use
physicians, specialist, and hospitals in the plans network and receive a greater discount
on services
✔✔Premium - ✔✔A pre-established amount set by the insurance company and paid
regularly usually on a monthly basis by the patient or an employer
✔✔priority mail - ✔✔first class mail that weighs more than 13 ounces
