MO136 Chapter 2 and 3 Exam Review
Questions with Verified Correct Answers
Subpoena duces tecum
a judicial order to bring specified documents or physical evidence to court
Eligibility
The quality or state of being qualified
Authorization
insurance claims require a patient to sign what to release information?
Referral
Transfer of patient care from one physician to another.
COB
coordination of benefits
Coordination of benefits
Coordinating insurance coverage between two insurance carriers
Birthday Rule
used to determine plan will be used when children are covered under both parent's plans
NPI
National Provider Identification
National Provider Identification
NPI.
Encounter Form
a list of the procedures and diagnoses for a patient's visit
Compliance Plan
, A process for finding, correcting, and preventing illegal medical office practices.
CMS
Centers for Medicare and Medicaid Services
Centers for Medicare and Medicaid Services
OIG
Office of Inspector General
EMR
electronic medical record
OCR
Office of Civil Rights
PHI
Protected Health Information
TPO
Treatment, Payment & Healthcare Operations
CCOF
Credit Card On File
Chart Number
AKA a patient's account number. This number is used to identify the patient
Accept Assignment
participating physician's agreement to accept allowed charge as full payment
Adjudication
series of steps that determine whether a claim should be paid
Self-Pay Patient
patient with no insurance
New Patient
you've never seen before or hasn't been seen for at least 3 years
Questions with Verified Correct Answers
Subpoena duces tecum
a judicial order to bring specified documents or physical evidence to court
Eligibility
The quality or state of being qualified
Authorization
insurance claims require a patient to sign what to release information?
Referral
Transfer of patient care from one physician to another.
COB
coordination of benefits
Coordination of benefits
Coordinating insurance coverage between two insurance carriers
Birthday Rule
used to determine plan will be used when children are covered under both parent's plans
NPI
National Provider Identification
National Provider Identification
NPI.
Encounter Form
a list of the procedures and diagnoses for a patient's visit
Compliance Plan
, A process for finding, correcting, and preventing illegal medical office practices.
CMS
Centers for Medicare and Medicaid Services
Centers for Medicare and Medicaid Services
OIG
Office of Inspector General
EMR
electronic medical record
OCR
Office of Civil Rights
PHI
Protected Health Information
TPO
Treatment, Payment & Healthcare Operations
CCOF
Credit Card On File
Chart Number
AKA a patient's account number. This number is used to identify the patient
Accept Assignment
participating physician's agreement to accept allowed charge as full payment
Adjudication
series of steps that determine whether a claim should be paid
Self-Pay Patient
patient with no insurance
New Patient
you've never seen before or hasn't been seen for at least 3 years
