Insurance true/false

Created by cowgirlbaby17 

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21 terms

It is commonplace to find administrative duties shared by a number of specialists in the physician's office.

False

The primary goal of an insurance claims assistance professional (CAP) is to assit the consumer in obtaining maxiumum benefits and to tell the patient what checks to write to providers to make sure there are no overpayments.

True

In a medical practice, front office duties have lost importance.

False

Generally, a high school diploma is not required for an insurance billing speciailist.

False

Working in a physician's office as an insurance billing specialist carries greater responsibilities than operating a self-owned insurance billing business.

False

Electronic claims submissions are a format of the past.

False

It is acceptable practice for medical office personnel to use a patient's first name when speaking to the patient about his or her insurance.

False

The medical profession has long subscribed to a body of ethical statements developed primarily for the benefit of the physician.

False

The Centers for Medicare and Medicaid Services, formely known as the Health Care Financing Administration, adopted the Principles of Medical Ethics in 1980.

False

Illegal coding practices are subject to penalities, fines, and/or imprisonment.

True

At certain times medical office staff members are allowed to make critical remarks about a physician to a patient.

False

It is illegal to report incorrect information to goverenment-funded programs such as Medicare, Medicaid, and TRICARE.

True

The title used for medical billing personnel may depend on the region of the United States where they work.

True

Medical billing employees should be able to perfom a variety of administrative duties pertaining to the business office.

True

Insurance companies never require the patient to submit the claim form.

False

Physicians are legally responsible for any actions of their employees performed within the context of their employment; therefore an employee cannot be sued or brought to trial.

False

Rules of etiquette for e-mail and cell telephone calls fall under the Health Insurance Portability and Accountability Act.

True

A claims assistance professional (CAP) acts as an informal representative of patients and helps patients interpret insurance contracts.

True

In some states, giving an insured client advice on purchase or discontinuance of insuracne policies is construed as being an insurance agent.

True

An insurance billing specialist uses general skills in following an employer's established policies when dealing with the health care contract.

True

The best way for an insurance specialist to keep up to date in the profession is to read health care industry assoiciation publicaitons, attend seminars on billing and coding, and participate in e-mail listserv discussions.

True

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