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5 Written questions

5 Matching questions

  1. statement
  2. preferred provider organization (PPO)
  3. coinsurance
  4. policyholder
  5. diagnosis code
  1. a .a person who buys an insurance plan; the insured
  2. b a list of all services performed for a patient, along with the charges for each service.
  3. c part of changes that of changes that an insured person must pay for health care services after payment of the deductible amount
  4. d .managed care network of health care providers who agree to perform services for plan members at discounted fees
  5. e a standardize value that represents a patien's illness, signs, and syptoms

5 Multiple choice questions

  1. a code that identifies a medical service.
  2. the periodic amount of money the insured pays to a health plan for insurance coverage.
  3. paper document form a payer that shows how the amount of a benefit was determined
  4. a explanation of benefits transmitted electronically by payer to a provider.
  5. form that includes a patient's personal, employment, and insurance data needed to complete an insurance

5 True/False questions

  1. capitationseries of steps that determine whether a claim should be piad

          

  2. medical coder.a peson who analyzes and codes patient diagnoses, procedures, and symptoms

          

  3. adjudicationseries of steps that determine whether a claim should be piad

          

  4. billing cycleregugular squedule of sending statements to patients

          

  5. codingthe periodic amount of money the insured pays to a health plan for insurance coverage.

          

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