MEDICAL BILLING EXAM 2024/2025
MEDICAL BILLING EXAM 2024/2025
COMPLETE QUESTIONS AND ANSWERS
Which of the following statements is true about current trends in the healthcare
industry?
there is a shift of payment responsibility to patients
why is the work of insurance specialist an increasingly complex job?
healthcare practices work with managed care contracts, providers must follow
federal and state regulations, providers deal with many health plans
a practices operating expenses are called?
accounts payable
what is the term for the person who is the holder of the insurance policy?
policyholder
,MEDICAL BILLING EXAM 2024/2025
payments for covered services made to providers by health plans are called?
benefits
a(n)_________ is an electronic or paper document that is filed to receive benefits
healthcare claim
the amount the insured must pay before a health plan's payment begins is called?
deductible
a payment method based on provider charges is called?
fee for service
staff members who handle billing, check insurance, and proccess payments are
typically known as?
medical insurance specialist
a series of steps that leads to maximum, appropriate, and timely payments for
patients medical services is called?
, MEDICAL BILLING EXAM 2024/2025
revenue cycle
which of the following statements is not true regarding medical records?
patients medical records cannot be used in a lawsuit
a(n)_________ is a meeting between a patient and a medical professional
encounter
the protection of patients private health information is covered under which law?
HIPPA
which of the following is not true of the HITECH act?
it ensures compliance with medical billing claims
many payers use______as the model for the healthcare industry?
CMS policy
MEDICAL BILLING EXAM 2024/2025
COMPLETE QUESTIONS AND ANSWERS
Which of the following statements is true about current trends in the healthcare
industry?
there is a shift of payment responsibility to patients
why is the work of insurance specialist an increasingly complex job?
healthcare practices work with managed care contracts, providers must follow
federal and state regulations, providers deal with many health plans
a practices operating expenses are called?
accounts payable
what is the term for the person who is the holder of the insurance policy?
policyholder
,MEDICAL BILLING EXAM 2024/2025
payments for covered services made to providers by health plans are called?
benefits
a(n)_________ is an electronic or paper document that is filed to receive benefits
healthcare claim
the amount the insured must pay before a health plan's payment begins is called?
deductible
a payment method based on provider charges is called?
fee for service
staff members who handle billing, check insurance, and proccess payments are
typically known as?
medical insurance specialist
a series of steps that leads to maximum, appropriate, and timely payments for
patients medical services is called?
, MEDICAL BILLING EXAM 2024/2025
revenue cycle
which of the following statements is not true regarding medical records?
patients medical records cannot be used in a lawsuit
a(n)_________ is a meeting between a patient and a medical professional
encounter
the protection of patients private health information is covered under which law?
HIPPA
which of the following is not true of the HITECH act?
it ensures compliance with medical billing claims
many payers use______as the model for the healthcare industry?
CMS policy
