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5 Written questions

5 Matching questions

  1. APPEAL
  2. CLEAN CLAIM
  3. ALLOWED CHARGES
  4. CLEARINGHOUSE
  5. ENCOUNTER FORM/SUPERBILL
  1. a DOCUMENTED AS A LETTER, SIGNED BY PROVIDER EXPLAINING WHY A CLAIM SHOULD BE RECONSIDRERED
  2. b PROVIDES CENTRALIZED CLAIMS PROCESSING FOR PROVIDERS AND HEALTH PLAN
  3. c ACCURATE CLAIM FORM
  4. d FINANCIAL SOURCE DOCUMENT; RECORD OF TREATMENT AND CHARGES RENDERED TO PT. DURING CURRENT ENCOUNTER. USED IN PHYSICIANS OFFICE
  5. e the maximum amount the payer will reimburse for ecah procedure or service, according to the paitent's policy.

5 Multiple choice questions

  1. ESTABLISHED PATIENT
  2. Health Insurance Claim Form
  3. MEDICAL REPORT SUSTAINING A MEDICAL CONDITION
  4. The guideline that determines which of two parents with medical coverage has the primary insurance for a child; the parent whose day of birth is earlier in the calendar year is considered primary.
  5. PERSON RESPONSIBLE FOR PAYING HEALTH CARE FEES

5 True/False questions

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

          

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

          

  3. SOFPARTICIPATING PROVIDER

          

  4. ACCEPT ASSIGNMENTESTABLISHED PATIENT

          

  5. ASSIGNMENT OF BENEFITSESTABLISHED PATIENT