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5 Written questions

5 Matching questions

  1. Copayment or Coinsurance
  2. Preadmission Testing (PAT)
  3. Managed Care
  4. Utilization Management
  5. Internal Classification of Diseases, Revision, Clinical Modification (ICD)
  1. a Routine tests required for all pt's before hospital admission to screen for abnormal findings that could interfere with the pt's hospital stay or scheduled procedure.
  2. b A specified amt. that the insured must pay toward the charge for professional services rendered.
  3. c A system of medical team members organized into groups to provide quality and cost-effective care that encompasses both the delivery of health care and payment of the services.
  4. d A panel that tracks what their members receive and checks if their medical care meets the standards of the organization.
  5. e The coding system used to document diseases, injuries, illness and mortalities.

5 Multiple choice questions

  1. Established to aid dependents of active service personnel, retired servces personnel and their dependents, dependents of services personnel who died on active duty, with a supplement for medical care in military or public health service facilities.
  2. Established in 1973 for the spouses and dependent children of veterans who have total, permanent, service-connected disabilities.
  3. Prior authorization must be obtained before the pt is admitted to the hospital or some specified outpatient or in-office procedures.
  4. A printed description of the benefits provided by the insurer to the beneficiary.
  5. A printed form containing a list of the services with corresponding codes.

5 True/False questions

  1. Preexisting ConditionPrior authorization must be obtained before the pt is admitted to the hospital or some specified outpatient or in-office procedures.

          

  2. Individual InsuranceInsurance offered to all employees by and employer.

          

  3. Workers CompensationGovernment program that provides insurance coverage for those who are injured on the job or who have developed work related disorders, disabilities or illnesses.

          

  4. MedicaidTransference of words into numbers to facilitate the use of computers in claim processing.

          

  5. Accounts PayableThe total amt. owed by the practice to suppliers and other service providers.

          

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