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The medical office assistant might compile and record medical charts, reports, and correspondence.
Coding accuracy is very inportent to healthcare organizations because funding cannot be recieved without accurate coding
What job description requires escellent data entry dkills , math skills and a good working knowledge of insurance contracts?
the knowledge of _____and ______ in imperitave to perform well in all medical administrative positions
coding and billing
the deductivle is the amount the insured must pay for each healthcare encounter sugh as an office visit
In managed care, patients often pay a specified amount called a _______ for an office visit to a provider.
A capitated payment is prepaid to a provider to cover a plan member's health services for a specified period.
Ethics are standards of behavior for licensed medical staff an other employees of medical practices.
The term medically necessary refers to the use of services or supplies or both as determined by the corporation medical director or his designee that ________.
A coexisting condition is reported when it effects the patients primary condition or is also treated during an encounter.
In the ICD9 NOS or not otherwise specified indicates a code to be used when too little info is available to assign another more specific code.
A physicians description of the main reason for a patients encounter is call the diagnostic______
When diagnostic codes are reported, the code for the ______diagnosis is listed first followed by the current co-existing condition.
The patient is the insured person, the "self" entry is marked under the patient relationship to the insured on the CMD 1500 claim form.
If the patient has addition insurance through a spounse, this information must be provided onthe CMS 1500 claim form.
The birthday rule states that the patient whose day of birth is earlier in the calender year will be considered the primary insurer.
HIPAA develops standards and regulations to be used by all providers carriers, billing services and clearing houses in order to _______.
Under the Medicare program non participating non accepting assignment physician may not bill morethan 115% of _______
When a patient is over age 65 and employed the employees group health plain, not medicare is the _________plan.
The medicare allowed charge for a procedure is $80.00. what amount does a participating provider receive from Medicare and what amount from the patient?
The medicare allowed charge for a procedure is $150. A par providers usual charge is $200. What amount must the provider write off?
The deductibles co insurance and co payments patients pay are called ____________
Out of Pocket expenses
Under the formula for calculating a medicare fee for a procedure, the sum of adjusted totals for work, practice expense, and malpractice are multiplied by a _______
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