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5 Written questions

5 Matching questions

  1. payer
  2. medical necessity
  3. diagnosis
  4. patient information form
  5. health maintenance organization (HMO)
  1. a physician's opinion of the nature of the patient's illness or injury
  2. b a managed health care system in which provides agree to offer heath care to the organization's members for fixed periodic payments from paln
  3. c form that includes a patient's personal, employment, and insurance data needed to complete an insurance
  4. d private or government organization that insures or pays for health care on the behalf of beneficiaries.
  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 type of insurance in which the carrier is responsible for both financing and the delivery of health care
  2. .a peson who analyzes and codes patient diagnoses, procedures, and symptoms
  3. health plan that repays the policyholder for covered medical expenses
  4. regugular squedule of sending statements to patients
  5. process of assigning standardize codes to diagnises and procedures

5 True/False questions

  1. procedure codea code that identifies a medical service.


  2. policyholder.a person who buys an insurance plan; the insured


  3. health plana list of all services performed for a patient, along with the charges for each service.


  4. proceduremedical treatment provided by a physician or other health care provider.


  5. practice management program (PMP)a explanation of benefits transmitted electronically by payer to a provider.


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