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5 Written questions

5 Matching questions

  1. Accounts Receivable
  2. Deductible
  3. Preadmission Testing (PAT)
  4. Explanation of Benefits (EOB)
  5. Coodination of Benefits (COB)
  1. a A predetermined amt. that the insured must pay each year before the insurance company will pay for an accident of illness.
  2. b A printed description of the benefits provided by the insurer to the beneficiary.
  3. c 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. d 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. e The total amt. of all charges for services rendered to pt's that have not been paid to the physician.

5 Multiple choice questions

  1. A term given to a primary care physician for coodinating the pt's care to specialists, hospital admissions and so on.
  2. A list of approved professional services for which the insurance company will pay with the maximum fee paid for each service.
  3. The person who has been insured, and insurance policy holder.
  4. A condition that existed before the insured's policy was issued.
  5. 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.

5 True/False questions

  1. ClaimA request for payment.

          

  2. CodingTransference of words into numbers to facilitate the use of computers in claim processing.

          

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

          

  4. Current Procedural Terminology Code (CPT)Coding system published by the american medical association that translates services received by a pt into a numeric value for convenience and continiuity of reporting these services to third parties for payment. The system is recognized by governmental payers and private insurance companies. (*always 5 digits ex:25000)

          

  5. Medigap (Medifill)A joint funding program by federal and state governments (excluding Arizona) for low-income pt's on public assistance for their medical care.