CHAPTER 1 QUESTIONS AND
ANSWERS GRADED A+
q
z Medical Biller - the person responsible for submitting provider's charges to the appropriate party
Accounts receivable - monies owed to a provider for his or her services
Revenue Cycle - complete patient billing cycle that starts at the time patient makes appointment and
ends when patient's account is paid in full
Provider-based - pertaining only to a provider such as a physician, nurse, practitioner, physician's
assistant and other clinical providers
Medical billing company - an offsite company hired to process medical bills for the provider
Home-based billing - the ability for an experienced biller to work from their home office
Outsource - send work off site
Certification - a professional status or level earned by successful completion of an examination; a person
who is certified may subsequently list the designated credentials after her or his name
Continuing Education Unit (CEU) - a level of measure of non-credited education
Certified Billing and Coding Specialist (CBCS) - a certification offered by the National Healthcareer
Association
National Heathcareer Association (NHA) - organization that specializes in the certification of healthcare
professionals, including coders
Certified Coding Associate (CCA) - an entry-level coding certification offered by AHIMA
American Health Information Association (AHIMA) - organization of professionals dedicated to advancing
the field of health information management and coding
Certified Medical Reimbursement Specialist (CMRS) - a certification offered y the American Medical
Billing Association
American Academy of Professional Coders (AAPC) - organization of professionals dedicated to educating
physician-based coders
Certified Professional Biller (CPB) - offered through the American Academy of professional Coders
Certified Professional Coder (CPC) - coding certification exam offered by the American Academy of
Professional Coders
What are the primary job duties of a medical biller - to review and submit patient visit claims to the
patient's insurance payer for appropriate reimbursement
Provider-based billing refers to: - charges for a provider's services
ANSWERS GRADED A+
q
z Medical Biller - the person responsible for submitting provider's charges to the appropriate party
Accounts receivable - monies owed to a provider for his or her services
Revenue Cycle - complete patient billing cycle that starts at the time patient makes appointment and
ends when patient's account is paid in full
Provider-based - pertaining only to a provider such as a physician, nurse, practitioner, physician's
assistant and other clinical providers
Medical billing company - an offsite company hired to process medical bills for the provider
Home-based billing - the ability for an experienced biller to work from their home office
Outsource - send work off site
Certification - a professional status or level earned by successful completion of an examination; a person
who is certified may subsequently list the designated credentials after her or his name
Continuing Education Unit (CEU) - a level of measure of non-credited education
Certified Billing and Coding Specialist (CBCS) - a certification offered by the National Healthcareer
Association
National Heathcareer Association (NHA) - organization that specializes in the certification of healthcare
professionals, including coders
Certified Coding Associate (CCA) - an entry-level coding certification offered by AHIMA
American Health Information Association (AHIMA) - organization of professionals dedicated to advancing
the field of health information management and coding
Certified Medical Reimbursement Specialist (CMRS) - a certification offered y the American Medical
Billing Association
American Academy of Professional Coders (AAPC) - organization of professionals dedicated to educating
physician-based coders
Certified Professional Biller (CPB) - offered through the American Academy of professional Coders
Certified Professional Coder (CPC) - coding certification exam offered by the American Academy of
Professional Coders
What are the primary job duties of a medical biller - to review and submit patient visit claims to the
patient's insurance payer for appropriate reimbursement
Provider-based billing refers to: - charges for a provider's services
