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5 Written questions

5 Matching questions

  1. ASSIGNMENT OF BENEFITS
  2. APPEAL
  3. GUARANTOR
  4. DAY SHEET
  5. UNBUNDLING
  1. a SUBMITTING MULTIPLE CPT CODES WHEN ONE SHOULD BE SUBMITTED
  2. b An arrangement by which a patient requests that his or her health insurance benefit payments be made directly to a physician or hospital is called a(n):
  3. c PERSON RESPONSIBLE FOR PAYING HEALTH CARE FEES
  4. d FINANCIAL RECORD FOR INDIVIDUAL PATIENT THAT DAY
  5. e DOCUMENTED AS A LETTER, SIGNED BY PROVIDER EXPLAINING WHY A CLAIM SHOULD BE RECONSIDRERED

5 Multiple choice questions

  1. NON PARTICIPATING PROVIDER
  2. MEDICAL REPORT SUSTAINING A MEDICAL CONDITION
  3. EDI - COMPUTER TO COMPUTER EXCHANGE OF DATA BETW. PROVIDER AND PAYER
  4. FINANCIAL SOURCE DOCUMENT; RECORD OF TREATMENT AND CHARGES RENDERED TO PT. DURING CURRENT ENCOUNTER. USED IN PHYSICIANS OFFICE
  5. PARTICIPATING PROVIDER

5 True/False questions

  1. CLEAN CLAIMPROVIDES CENTRALIZED CLAIMS PROCESSING FOR PROVIDERS AND HEALTH PLAN

          

  2. ACCEPT ASSIGNMENTESTABLISHED PATIENT

          

  3. PRIMARY INSURANCEThe health plan that pays benefits first when a patient is covered by more than one plan.

          

  4. VALUE ADDED NETWORK (VAN)CLEARINGHOUSE THAT INVOLVES VALUE ADDED VENDORS, SUCH AS BANKS, IN THE PROCESSING OF CLAIMS

          

  5. LISTED ON CMSPROFESSIONAL SVCS/TECHNICAL SVCS, MODIFIERS ADDED