5 Written questions
5 Matching questions
- Accounts Receivable
- Internal Classification of Diseases, Revision, Clinical Modification (ICD)
- Civilian Health and Medical Program of the Veterans' Administration (CHAMPVA)
- Current Procedural Terminology Code (CPT)
- Utilization Review
- 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.
- b The total amt. of all charges for services rendered to pt's that have not been paid to the physician.
- c Established in 1973 for the spouses and dependent children of veterans who have total, permanent, service-connected disabilities.
- 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)
- e The coding system used to document diseases, injuries, illness and mortalities.
5 Multiple choice questions
- The total amt. owed by the practice to suppliers and other service providers.
- A panel that tracks what their members receive and checks if their medical care meets the standards of the organization.
- A specified amt. that the insured must pay toward the charge for professional services rendered.
- Transference of words into numbers to facilitate the use of computers in claim processing.
- Insurance purchased by an individual for self and any eligible dependents.
5 True/False questions
Admitting Physician → The physician who cares for a pt in the hospital (not necessarily the physician who admitted the pt)
Gatekeeper → The person who has been insured, and insurance policy holder.
Deductible → A joint funding program by federal and state governments (excluding Arizona) for low-income pt's on public assistance for their medical care.
Claim → A request for payment.
Medicaid → A predetermined amt. that the insured must pay each year before the insurance company will pay for an accident of illness.