NAME

Question types


Start with


Question limit

of 38 available terms

Advertisement Upgrade to remove ads
Print test

5 Written questions

5 Matching questions

  1. Preadmission Testing (PAT)
  2. Coding
  3. Copayment or Coinsurance
  4. Deductible
  5. Capitation
  1. a A specified amt. that the insured must pay toward the charge for professional services rendered.
  2. b The health care provider is automatically paid a fixed amt. per month regardless of provided services for each pt who is a member of a particular insurance organization.
  3. c Transference of words into numbers to facilitate the use of computers in claim processing.
  4. d A predetermined amt. that the insured must pay each year before the insurance company will pay for an accident of illness.
  5. e 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.

5 Multiple choice questions

  1. The physician who admits a pt to the hospital (not necessarily the pt's attending physician)
  2. A joint funding program by federal and state governments (excluding Arizona) for low-income pt's on public assistance for their medical care.
  3. A printed form containing a list of the services with corresponding codes.
  4. Insurance Carrier.
  5. A condition that existed before the insured's policy was issued.

5 True/False questions

  1. Explanation of Benefits (EOB)Procedures used by insurers to avoid ducplication of payment on claims when the pt has more than one policy. one insurance becomes the primary payer and no more than 100% of the costs are covered.

          

  2. Accounts PayableThe total amt. of all charges for services rendered to pt's that have not been paid to the physician.

          

  3. Current Procedural Terminology Code (CPT)This plan offers different insurance coverage depending on whether the pt receives services from a contracting network or non-network physician. The benefits are higher if the physician provider is a member of the PPO (or is a network physician).

          

  4. Attending PhysicianThe physician who admits a pt to the hospital (not necessarily the pt's attending physician)

          

  5. Coodination of Benefits (COB)A printed description of the benefits provided by the insurer to the beneficiary.

          

Create Set