Medical Assisting Exam Review Chapter
13 review questions with verified
answers
When a patient gives written authorization for reimbursement to the physician for
billed charges, this is called: - correct answer ✔✔assignment of benefits
Coordination of benefits means: - correct answer ✔✔one insurance plan will work
with other insurance plans to determine how much each plan pays
The person who is covered by a benefits plan is the: - correct answer ✔✔insured
A person's spouse or child who is covered under the benefits plan is called the: -
correct answer ✔✔dependent
The amount that will be paid by the insurance plan for each procedure or service
is based on the: - correct answer ✔✔fee schedule
A government-sponsored program that provides health benefits to low-income or
indigent persons is: - correct answer ✔✔Medicaid
Expenses resulting from work-related illness or injury are usually covered by: -
correct answer ✔✔workers' compensation
, The statement issued to the provider and the patient that lists the details of a
payment that has been made by the insurance plan is the: - correct answer
✔✔explanation of benefits
If a patient is diagnosed with a disease before the effective date of the insurance
plan, it is a(n): - correct answer ✔✔preexisting condition
The amount of eligible charges each patient must pay each calendar year before
the plan begins to pay benefits is called: - correct answer ✔✔deductible
Medicare is a federal health insurance program for: - correct answer
✔✔individuals 65 years of age or older and are eligible for social security benefits
Medicare Part A provides coverage for: - correct answer ✔✔hospitalization
The process of determining whether a service or procedure is covered by the
insurance provider is called: - correct answer ✔✔precertification
The medical bills of spouses and children of veterans with total, permanent,
service-connected disabilities are covered under: - correct answer ✔✔CHAMPVA
The process of making a payment to a provider based on a fixed amount per
enrollee assigned to that provider regardless of services provided is: - correct
answer ✔✔capitation
A group of physicians who review cases for appropriateness of hospitalizations
and discharges is called: - correct answer ✔✔quality improvement organization
13 review questions with verified
answers
When a patient gives written authorization for reimbursement to the physician for
billed charges, this is called: - correct answer ✔✔assignment of benefits
Coordination of benefits means: - correct answer ✔✔one insurance plan will work
with other insurance plans to determine how much each plan pays
The person who is covered by a benefits plan is the: - correct answer ✔✔insured
A person's spouse or child who is covered under the benefits plan is called the: -
correct answer ✔✔dependent
The amount that will be paid by the insurance plan for each procedure or service
is based on the: - correct answer ✔✔fee schedule
A government-sponsored program that provides health benefits to low-income or
indigent persons is: - correct answer ✔✔Medicaid
Expenses resulting from work-related illness or injury are usually covered by: -
correct answer ✔✔workers' compensation
, The statement issued to the provider and the patient that lists the details of a
payment that has been made by the insurance plan is the: - correct answer
✔✔explanation of benefits
If a patient is diagnosed with a disease before the effective date of the insurance
plan, it is a(n): - correct answer ✔✔preexisting condition
The amount of eligible charges each patient must pay each calendar year before
the plan begins to pay benefits is called: - correct answer ✔✔deductible
Medicare is a federal health insurance program for: - correct answer
✔✔individuals 65 years of age or older and are eligible for social security benefits
Medicare Part A provides coverage for: - correct answer ✔✔hospitalization
The process of determining whether a service or procedure is covered by the
insurance provider is called: - correct answer ✔✔precertification
The medical bills of spouses and children of veterans with total, permanent,
service-connected disabilities are covered under: - correct answer ✔✔CHAMPVA
The process of making a payment to a provider based on a fixed amount per
enrollee assigned to that provider regardless of services provided is: - correct
answer ✔✔capitation
A group of physicians who review cases for appropriateness of hospitalizations
and discharges is called: - correct answer ✔✔quality improvement organization
