NAME: ________________________

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5 Written Questions

5 Matching Questions

  1. ALLOWED CHARGES
  2. APPEAL
  3. ENCOUNTER FORM/SUPERBILL
  4. ACCEPT ASSIGNMENT
  5. UNBUNDLING
  1. a DOCUMENTED AS A LETTER, SIGNED BY PROVIDER EXPLAINING WHY A CLAIM SHOULD BE RECONSIDRERED
  2. b the maximum amount the payer will reimburse for ecah procedure or service, according to the paitent's policy.
  3. c The provider agrees to accept what the insurance company approves as payment in full for the claim.
  4. d SUBMITTING MULTIPLE CPT CODES WHEN ONE SHOULD BE SUBMITTED
  5. e FINANCIAL SOURCE DOCUMENT; RECORD OF TREATMENT AND CHARGES RENDERED TO PT. DURING CURRENT ENCOUNTER. USED IN PHYSICIANS OFFICE

5 Multiple Choice Questions

  1. PARTICIPATING PROVIDER
  2. SERIES OF FIXED LENGTH RECORDS SUBMITTED TO PAYERS TO BILL FOR HEALTHCARE SVCS
  3. PERSON RESPONSIBLE FOR PAYING HEALTH CARE FEES
  4. The health plan that pays benefits first when a patient is covered by more than one plan.
  5. PROFESSIONAL SVCS/TECHNICAL SVCS, MODIFIERS ADDED

5 True/False Questions

  1. REPEAT PATIENTThe provider agrees to accept what the insurance company approves as payment in full for the claim.

          

  2. CHARGEMASTERPERSON RESPONSIBLE FOR PAYING HEALTH CARE FEES

          

  3. PATIENT LEDGER/PATIENT ACCOUNT RECORDESTABLISHED PATIENT

          

  4. DAY SHEETDOCUMENTED AS A LETTER, SIGNED BY PROVIDER EXPLAINING WHY A CLAIM SHOULD BE RECONSIDRERED

          

  5. ASSIGNMENT OF BENEFITSAn arrangement by which a patient requests that his or her health insurance benefit payments be made directly to a physician or hospital is called a(n):

          

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