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5 Written questions

5 Matching questions

  1. Encounter Form (Superbill)
  2. Deductible
  3. Coding
  4. Utilization Review
  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 A review carried out by allied health professionals at predetermined times to assess the necessity of the particular pt to remain in an acute care facility.
  3. c A printed form containing a list of the services with corresponding codes.
  4. d Transference of words into numbers to facilitate the use of computers in claim processing.
  5. e A predetermined amt. that the insured must pay each year before the insurance company will pay for an accident of illness.

5 Multiple choice questions

  1. Prior authorization must be obtained before the pt is admitted to the hospital or some specified outpatient or in-office procedures.
  2. Government program that provides insurance coverage for those who are injured on the job or who have developed work related disorders, disabilities or illnesses.
  3. A printed description of the benefits provided by the insurer to the beneficiary.
  4. A term given to a primary care physician for coodinating the pt's care to specialists, hospital admissions and so on.
  5. A panel that tracks what their members receive and checks if their medical care meets the standards of the organization.

5 True/False questions

  1. Individual InsuranceInsurance purchased by an individual for self and any eligible dependents.

          

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

          

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

          

  4. Internal Classification of Diseases, Revision, Clinical Modification (ICD)A printed description of the benefits provided by the insurer to the beneficiary.

          

  5. SubscriberA predetermined amt. that the insured must pay each year before the insurance company will pay for an accident of illness.