Correct Answers
1. adjudication - the process used by
health
plans to determine
the amount of
payment for a claim
2. brand name drug - a prescription drug
that has been
patented and is only
available through one
manufacturer
3. generic drug a drug which is the
phar-
maceutical equivalent
to one or more brand
name drugs
4. diagnostic test medically necessary
tests
and/or non surgical
pro- cedure ordered
by a physics/dentist
to deter- mine if the
patient has a certain
condition or dis-
ease, include
radiology, laboratory,
pathology ser- vices or
tests
5. inpatient - person admitted to the
hospital to receive
1/
17
, HIM Quiz Questions With All
Correct Answers
hospital services,
including room, board,
and general nurs- ing
care
6. outpatient
2/
17
, HIM Quiz Questions With All
Correct Answers
patient who receives hos-
pital care without
being admitted as
inpatient
7. preventive care care rendered by a
physi-
cian to promote health
and prevent future
health problems for a
mem-
ber who does not exhib- it
symptoms, examples
are routine physical
examina- tions and
immunization
8. home health care skilled nursing and
relat- ed health
services provid- ed by
home health agen-
cies to patients in a
home setting
9. hospice program and facility that
provides medical care and
support services for
termi- nally ill patients
and their families, the
hospice pro- vides
services either di-
rectly or on a
consult-
3/
17