Question types

Start with

Question limit

of 38 available terms

Advertisement Upgrade to remove ads
Print test

5 Written questions

5 Matching questions

  1. Gatekeeper
  2. CMS 1500
  3. Preadmission Testing (PAT)
  4. Deductible
  5. Third Party Payer
  1. a A term given to a primary care physician for coodinating the pt's care to specialists, hospital admissions and so on.
  2. b 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.
  3. c Insurance Carrier.
  4. d The standard claim form
  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. A printed form containing a list of the services with corresponding codes.
  2. The total amt. of all charges for services rendered to pt's that have not been paid to the physician.
  3. The health care provider is automatically paid a fixed amt. per month regardless of provided services for each pt who is a member of a particular insurance organization.
  4. 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.
  5. The physician who admits a pt to the hospital (not necessarily the pt's attending physician)

5 True/False questions

  1. Member PhysicianA physician who has contacted to participate with an insurance company to be reimbursed for services according to the company's plan.


  2. Managed CareA system of medical team members organized into groups to provide quality and cost-effective care that encompasses both the delivery of health care and payment of the services.


  3. Walkout StatementA printed form with the pt's charges and the amt. paid for the servces rendered, which the pt takes with her. (receipt)


  4. Group InsuranceInsurance offered to all employees by and employer.


  5. Copayment or CoinsuranceA specified amt. that the insured must pay toward the charge for professional services rendered.