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of 29 available terms

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5 Written Questions

5 Matching Questions

  1. medical necessity
  2. accounting cycle
  3. adjudication
  4. free-for-service
  5. policyholder
  1. a the flow of financial transactions in a bissiness
  2. b health plan that repays the policyholder for covered medical expenses
  3. c series of steps that determine whether a claim should be piad
  4. d .a person who buys an insurance plan; the insured
  5. e treament provided by a physycian to a patient for the purpose of preventing, diagnosing, or treating an illness, injury, or its symptoms in a manner that is appropriate and provided in accordance with generally accepted standards of medical practice.

5 Multiple Choice Questions

  1. a plan, program, or organization that provides health benifits.
  2. a small fixed fee paid by the patient at the time of an office visit.
  3. .a peson who analyzes and codes patient diagnoses, procedures, and symptoms
  4. a explanation of benefits transmitted electronically by payer to a provider.
  5. medical treatment provided by a physician or other health care provider.

5 True/False Questions

  1. consumer-driven health plan (CDPH)a type of managed care in which a high-deductible/low-premium insurance plan is combined with a pretax saving account to cover out-of-pocket medical expenses, up to the deductible limit


  2. practice management program (PMP).a software program that automates many of the administrative and financial tasks required to run a madical practice


  3. encounter forma list of the procedures and changes for a patient's visit


  4. billing cycleregugular squedule of sending statements to patients


  5. managed carea type of insurance in which the carrier is responsible for both financing and the delivery of health care


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