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5 Written questions

5 Matching questions

  1. Accounts Receivable
  2. Internal Classification of Diseases, Revision, Clinical Modification (ICD)
  3. Civilian Health and Medical Program of the Veterans' Administration (CHAMPVA)
  4. Current Procedural Terminology Code (CPT)
  5. Utilization Review
  1. a A review carried out by allied health professionals at predetermined times to assess the necessity of the particular pt to remain in an acute care facility.
  2. b The total amt. of all charges for services rendered to pt's that have not been paid to the physician.
  3. c Established in 1973 for the spouses and dependent children of veterans who have total, permanent, service-connected disabilities.
  4. d Coding system published by the american medical association that translates services received by a pt into a numeric value for convenience and continiuity of reporting these services to third parties for payment. The system is recognized by governmental payers and private insurance companies. (*always 5 digits ex:25000)
  5. e The coding system used to document diseases, injuries, illness and mortalities.

5 Multiple choice questions

  1. The total amt. owed by the practice to suppliers and other service providers.
  2. A panel that tracks what their members receive and checks if their medical care meets the standards of the organization.
  3. A specified amt. that the insured must pay toward the charge for professional services rendered.
  4. Transference of words into numbers to facilitate the use of computers in claim processing.
  5. Insurance purchased by an individual for self and any eligible dependents.

5 True/False questions

  1. Admitting PhysicianThe physician who cares for a pt in the hospital (not necessarily the physician who admitted the pt)


  2. GatekeeperThe person who has been insured, and insurance policy holder.


  3. DeductibleA joint funding program by federal and state governments (excluding Arizona) for low-income pt's on public assistance for their medical care.


  4. ClaimA request for payment.


  5. MedicaidA predetermined amt. that the insured must pay each year before the insurance company will pay for an accident of illness.


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