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5 Written questions

5 Matching questions

  1. Medigap (Medifill)
  2. Medicaid
  3. Explanation of Benefits (EOB)
  4. Accounts Payable
  5. Group Insurance
  1. a A joint funding program by federal and state governments (excluding Arizona) for low-income pt's on public assistance for their medical care.
  2. b Insurance offered to all employees by and employer.
  3. c The total amt. owed by the practice to suppliers and other service providers.
  4. d A printed description of the benefits provided by the insurer to the beneficiary.
  5. e Private insurance to supplement Medicare benefits for noncovered services.

5 Multiple choice questions

  1. The standard claim form
  2. This plan offers different insurance coverage depending on whether the pt receives services from a contracting network or non-network physician. The benefits are higher if the physician provider is a member of the PPO (or is a network physician).
  3. A specified amt. that the insured must pay toward the charge for professional services rendered.
  4. A printed form containing a list of the services with corresponding codes.
  5. A physician who has contacted to participate with an insurance company to be reimbursed for services according to the company's plan.

5 True/False questions

  1. 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.

          

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

          

  3. Preexisting ConditionA condition that existed before the insured's policy was issued.

          

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

          

  5. Admitting PhysicianThe physician who cares for a pt in the hospital (not necessarily the physician who admitted the pt)