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Answers
Whatitypeiofiinsuranceiallowsitreatmentivirtuallyiany
whereiwithiaihighideductibleithatipolicyiholdersiareiw
illingitoipay?i-iCorrectiAnswer-PPO
Veteransiwithiserviceirelatedidisabilitiesiareieligiblei
foricaseiunderiwhichiprogram?i-iCorrectiAnswer-
CHAMPVA
__________iisiusuallyisponsorediandipartiallyipaidibyian
iemployeri-iCorrectiAnswer-GroupiHealthiInsurance
__________iareiuseditoireportiencountersiforicircumsta
ncesiotherithaniaidiseaseioriinjuryiinitheiICD-10-CMi-
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TheiabbreviationiPMPMistandsifori-iCorrectiAnswer-
PeriMemberiPeriMonth
Scheduleiofibenefitsimeansi-iCorrectiAnswer-
medicaliserviceicoverediunderitheiinsured'sipolicy
Medicareiisifundedibyi-iCorrectiAnswer-
Federalifunds
physiciansiestablishiailistiofitheiriusualifeesifor:i-
iCorrectiAnswer-
theiproceduresiandiservicesitheyifrequentlyiperform
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, theiinsuranceicarrieriisialloweditoiuseinayimethoditoi
determineitheiamountiforiaiservice,ialsoiknowniasithe
:i-iCorrectiAnswer-allowediamount
Whichiofitheifollowingistatementsiisitrueiunderitheid
octrineiofirespondeatisuperior?i-iCorrectiAnswer-
Theiphysicianiisiresponsibleiforianyierrorsimadeibyith
eimedicalistaff
HIPAAistandsiforiwhichiofitheifollowing?i-
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HealthiInsuranceiPortabilityiandiAccountabilityiAct
Informationigivenibyiaipatientitoimedicalipersonnelit
haticannotibeidisclosediwithouticonsenticonstitutes:i
-iCorrectiAnswer-privilegedicommunication
Whyiisiaisuperibill/
encounteriformianiimportantidocumentiinitheioffice?
i-iCorrectiAnswer-
it'siensuresitheicorrectipatientidataiinformationiandi
procedures
WhichiofitheifollowingifacilitiesidoesiNOTiuseiCMS-
1500iforms?i-iCorrectiAnswer-Nursingihome
Physiciansiusuallyisubmiticlaimsiforipatientsiandirec
eiveipaymentsidirectlyiforitheipayers.iTheipolicyihold
eriauthorizesithisibyisigningiandidatingia:i-
iCorrectiAnswer-Assignmentiofibenefits
UnderitheiHIPAAiPrivacyiRule,iprovidersidoinotineedi
specificiauthorizationiiniorderitoireleaseiaipatientsiP
HIiforiTPOipurposes.iWhatidoesiTPOistandifor?i-
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