Medical Insurance Final Exam Practice
more patient visits - questions and answersWhat do providers receive in PPO for
accepting lower rates?
AHIMA - questions and answersCoding specialists that are certified are awarded the
designation of CPC by:
the insurance plan - questions and answersUnder an insurance contract the physician is
the first party, the insured is the second party and who is the third party?
the patients financial card - questions and answersPatient ledger records contain what?
the patient and the provider - questions and answersChoose the entity that may make
agreements with an MCO:
step 5 - questions and answersIn what step does the medical insurance specialist verify
billing compliance?
insurance company - questions and answersWhat is an example of private payer?
caseworker - questions and answersWhat is an advantage of HMO case management?
$350 - questions and answersCalculate what insurance owes on 850 if a 500 deductible
has not been met yet.
a transaction - questions and answersWhat is the electronic version of a document?
4 - HPI, exam, decision and family history review - questions and answersA complete
H&P is documented with how many types of information?
financial issues - questions and answersDuring informed consent a physician states all
except
operating rules - questions and answersACA requires the adoption of
, patient's signed authorization - questions and answersReleasing protected health
information (PHI) information requires what?
treatment, payment and operations - questions and answersKnowing TPO is
release of HIV information or psych information - questions and answersDisclosure of
which of the following requires more than a written signature?
medical professional liability - questions and answersWhat is the responsibility of
licensed health care professionals?
electronic health record - questions and answersEHR is the abbreviation for
coordination of benefits - questions and answersWhat provision explains how a policy
will pay if the insured has more than one policy?
set up a new case (or new encounter) - questions and answersWhat is the set up in a
practice management program for a different medical complaint than the one previously
treated?
preregistration time - questions and answersIdentify the best time in which to collect
patient information
when a patient comes for specialty care and referral # is not them - questions and
answersA medical practice may receive a self referral
emergency - questions and answersIdentify situation in which insurance is checked
after being seen:
length of time the patient has been seen - questions and answersIdentify a factor that
does not determine a copay
RTCA real time claim adjudication - questions and answersWhat is the process to
create a claim while the patient is present?
coordination of benefits - questions and answersWhat does COB stand for?
more patient visits - questions and answersWhat do providers receive in PPO for
accepting lower rates?
AHIMA - questions and answersCoding specialists that are certified are awarded the
designation of CPC by:
the insurance plan - questions and answersUnder an insurance contract the physician is
the first party, the insured is the second party and who is the third party?
the patients financial card - questions and answersPatient ledger records contain what?
the patient and the provider - questions and answersChoose the entity that may make
agreements with an MCO:
step 5 - questions and answersIn what step does the medical insurance specialist verify
billing compliance?
insurance company - questions and answersWhat is an example of private payer?
caseworker - questions and answersWhat is an advantage of HMO case management?
$350 - questions and answersCalculate what insurance owes on 850 if a 500 deductible
has not been met yet.
a transaction - questions and answersWhat is the electronic version of a document?
4 - HPI, exam, decision and family history review - questions and answersA complete
H&P is documented with how many types of information?
financial issues - questions and answersDuring informed consent a physician states all
except
operating rules - questions and answersACA requires the adoption of
, patient's signed authorization - questions and answersReleasing protected health
information (PHI) information requires what?
treatment, payment and operations - questions and answersKnowing TPO is
release of HIV information or psych information - questions and answersDisclosure of
which of the following requires more than a written signature?
medical professional liability - questions and answersWhat is the responsibility of
licensed health care professionals?
electronic health record - questions and answersEHR is the abbreviation for
coordination of benefits - questions and answersWhat provision explains how a policy
will pay if the insured has more than one policy?
set up a new case (or new encounter) - questions and answersWhat is the set up in a
practice management program for a different medical complaint than the one previously
treated?
preregistration time - questions and answersIdentify the best time in which to collect
patient information
when a patient comes for specialty care and referral # is not them - questions and
answersA medical practice may receive a self referral
emergency - questions and answersIdentify situation in which insurance is checked
after being seen:
length of time the patient has been seen - questions and answersIdentify a factor that
does not determine a copay
RTCA real time claim adjudication - questions and answersWhat is the process to
create a claim while the patient is present?
coordination of benefits - questions and answersWhat does COB stand for?
