Hiim 215 Midterm

HIIM 215 MIDTERM EXAM QUESTIONS WITH CORRECT VERIFIED ANSWERS | 100% PASS (A+ CERTIFIED) Accounts Receivable (A/R) Answer include an invoice or any payment from the patient or insurance carriers to the medical practice Adjustment Answer positive or negative change to a patient account administrative applications Answer use of information technology for tasks such as office management, finance and accounting, and materials management adverse drug event Answer any undesirable occurrence related to administering or failing to administer a prescribed medication American Recovery and Reinvestment Act Answer Signed into law on Feb. 17, 2009 by Pres. Obama; includes financial incentives for adopting electronic health records assignment Answer the amount the insurance company pays Authorization Answer Permission granted by the insurance carrier for the provider to perform a medical procedure balance billing Answer (bucket billing) specific to health care office environments, where each insurer must be billed and payment received before the patient is billed. big data analytics Answer examination of large data sets to find trends biometrics Answer the science that measures body characteristics; enables security devices to identify a user by these characteristics bucket billing Answer (balance billing) specific to health care office environments, where each insurer must be billed and payment received before the patient is billed. capitated plan Answer a type of health insurance where a physician is paid a fixed fee (the capitation) and the physician is paid regardless of the amount of treatment he or she provides. Case Answer the condition for which the patient visits the doctor Centers for Medicare and Medicaid Services (CMS) Answer government insurance plans are administered by the federal CMS, formerly the Health Care Financing Administration (HCFA) CHAMPUS Answer covers medical necessities for those eligible: retired military, dependents of those on active duty, retired, or dead military CHAMPVA Answer covers the immediate families of veterans who are totally disabled; surviving spouse and children of a veteran who died from a service-related disability; widow and children of a veteran who was permanently disabled; and the surviving spouse and children of a member of the military who died in the line-of-duty charge Answer the amount a patient is billed for the provider's service CHIP (Children's Health Insurance Program) Answer a federal program that in 2016, covered 8.9 million children through both Medicaid and CHIP. Children whose families don't qualify for Medicaid and whose incomes are up to 200 percent of poverty are eligible. As of 2016, there were more than 72.5 million people enrolled in Medicaid and CHIP. claim Answer a request to an insurance company for payment of services