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5 Written questions

5 Matching questions

  1. Internal Classification of Diseases, Revision, Clinical Modification (ICD)
  2. Preadmission Testing (PAT)
  3. Claim
  4. Group Insurance
  5. Accounts Receivable
  1. a The total amt. of all charges for services rendered to pt's that have not been paid to the physician.
  2. b The coding system used to document diseases, injuries, illness and mortalities.
  3. c A request for payment.
  4. d Insurance offered to all employees by and employer.
  5. e Routine tests required for all pt's before hospital admission to screen for abnormal findings that could interfere with the pt's hospital stay or scheduled procedure.

5 Multiple choice questions

  1. A panel that tracks what their members receive and checks if their medical care meets the standards of the organization.
  2. A joint funding program by federal and state governments (excluding Arizona) for low-income pt's on public assistance for their medical care.
  3. Transference of words into numbers to facilitate the use of computers in claim processing.
  4. A printed form containing a list of the services with corresponding codes.
  5. Private insurance to supplement Medicare benefits for noncovered services.

5 True/False questions

  1. GatekeeperA term given to a primary care physician for coodinating the pt's care to specialists, hospital admissions and so on.


  2. Health Maintenance Organization (HMO)A prepaid group practice serving a secific geographic area.


  3. Coodination of Benefits (COB)Procedures used by insurers to avoid ducplication of payment on claims when the pt has more than one policy. one insurance becomes the primary payer and no more than 100% of the costs are covered.


  4. Fee ScheduleA list of approved professional services for which the insurance company will pay with the maximum fee paid for each service.


  5. Member PhysicianThe physician who admits a pt to the hospital (not necessarily the pt's attending physician)