5 Written questions
5 Matching questions
- Preadmission Testing (PAT)
- Copayment or Coinsurance
- a A specified amt. that the insured must pay toward the charge for professional services rendered.
- 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.
- c Transference of words into numbers to facilitate the use of computers in claim processing.
- d A predetermined amt. that the insured must pay each year before the insurance company will pay for an accident of illness.
- 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
- The physician who admits a pt to the hospital (not necessarily the pt's attending physician)
- A joint funding program by federal and state governments (excluding Arizona) for low-income pt's on public assistance for their medical care.
- A printed form containing a list of the services with corresponding codes.
- Insurance Carrier.
- A condition that existed before the insured's policy was issued.
5 True/False questions
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.
Accounts Payable → The total amt. of all charges for services rendered to pt's that have not been paid to the physician.
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).
Attending Physician → The physician who admits a pt to the hospital (not necessarily the pt's attending physician)
Coodination of Benefits (COB) → A printed description of the benefits provided by the insurer to the beneficiary.