Study sets matching "insurance handbook for the medical office key terms chapter 2"

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Study sets matching "insurance handbook for the medical office key terms chapter 2"

Chapter 2: Insurance Handbook for the Medical Office 13th Edition Workbook
19. One of the agencies charged with e…
20. HIPAA transaction standards apply…
21. Enforcement of the privacy standar…
22. Verbal or written agreement that g…
B. Office of Inspector General (OIG)
D. All of the above
C. Office of Civil Rights (OCR)
B. Consent
19. One of the agencies charged with e…
B. Office of Inspector General (OIG)
20. HIPAA transaction standards apply…
D. All of the above
Chapter 2: Insurance Handbook for the Medical Office 13th Edition Workbook
19. One of the agencies charged with e…
20. HIPAA transaction standards apply…
21. Enforcement of the privacy standar…
22. Verbal or written agreement that g…
B. Office of Inspector General (OIG)
D. All of the above
C. Office of Civil Rights (OCR)
B. Consent
19. One of the agencies charged with e…
B. Office of Inspector General (OIG)
20. HIPAA transaction standards apply…
D. All of the above
Insurance Handbook for the Medical Office Abbreviations Chapters 1, 2 & 3
AAMA
ACA
AHIMA
AMA
American Association of Medical Assistants
American Collectors Association
American Health Information Management Association
American Medical Association
AAMA
American Association of Medical Assistants
ACA
American Collectors Association
73 terms
Insurance Handbook for the Medical Office Abbreviations Chapters 1, 2 & 3
AAMA
ACA
AHIMA
AMA
American Association of Medical Assistants
American Collectors Association
American Health Information Management Association
American Medical Association
AAMA
American Association of Medical Assistants
ACA
American Collectors Association
25 terms
Insurance Handbook for Medical Office: Chapter 2-Compliance, Privacy, Fraud, and Abuse in Insurance Billing-Quiz
The process of meeting regulations, re…
Under HIPAA guidelines, an outside bil…
To give, release, or transfer informat…
Confidentiality between the physician…
False (p23)
False (p25)
False (p26)
True (p30)
The process of meeting regulations, re…
False (p23)
Under HIPAA guidelines, an outside bil…
False (p25)
72 terms
Insurance Handbook for the Medical Office-key terms ch 3, 4, 5, 6, 7, 8
Accounts receivable management
Claim
Coinsurance
Coordination of Benefits
The organization and administration of coding and billing in…
A bill sent to an insurance carrier requesting payment for se…
A cost sharing requirement under a health insurance policy pr…
COB-Two insurance carriers working together and coordinating…
Accounts receivable management
The organization and administration of coding and billing in…
Claim
A bill sent to an insurance carrier requesting payment for se…
9 terms
Insurance Handbook for the Medical Office:Chapter 2 - Compliance, Privacy, Fraud, and Abuse (Multiple Choice Only)
The focus on the health care practice…
The Office of Civil Rights enforces...
Confidential information includes ever…
What is the correct response when a re…
b: Title II Administrative Simplification
a: privacy and security rules
d: (all of the above) heard about/read about/seen regarding
c: have the physician return the phone call
The focus on the health care practice…
b: Title II Administrative Simplification
The Office of Civil Rights enforces...
a: privacy and security rules
39 terms
Insurance Handbook for Medical Office: Chapter 2-Compliance, Privacy, Fraud, and Abuse in Insurance Billing
HIPAA
respiration rate
sign
symptom
Health Insurance Portability and Accountability Act of 1996
number of breaths per minute
term for objective evidence of a disease
subjective evidence as perceived by the patient
HIPAA
Health Insurance Portability and Accountability Act of 1996
respiration rate
number of breaths per minute
11 terms
Chapter 2 Key terms: Computers in the Medical Office
access rights
Auto Log Off
backup data
database
Security option that determines the areas of the program a us…
Feature of Medisoft that automatically logs a user out of the…
A copy of data files made at a specific point in time that ca…
A collection of related bits of information.
access rights
Security option that determines the areas of the program a us…
Auto Log Off
Feature of Medisoft that automatically logs a user out of the…
63 terms
Medical Insurance Key Terms Chapter 2
medical record
malpractice
documentation
medical standards of care
file containing the documentation of a patient's medical hist…
failure to use professional skill when giving medical service…
organizing a patient's health record in chronological order u…
state-specified performance measures for the delivery of heal…
medical record
file containing the documentation of a patient's medical hist…
malpractice
failure to use professional skill when giving medical service…
15 terms
HIPAA (Medical Insurance-Chapter:2 Key Terms)
Abuse:
Audit:
Compliance Plan:
Covered Entity:
Actions that improperly use another's resources.
A formal examination of a physician's accounting and or medic…
A practice written plan to: appoint a compliance officer; est…
Under HIPAA a health plan, clearinghouse, or provider that tr…
Abuse:
Actions that improperly use another's resources.
Audit:
A formal examination of a physician's accounting and or medic…
49 terms
Medical Insurance--Revenue Cycle Process (Chapter 2/Key Terms)
abuse
accountable care organization (ACO)
accounting of disclosure
Affordable Care Act (ACA)
action that improperly uses another's resources
network of doctors and hospitals that shares responsibility f…
documentation of the disclosure of a patients' PHI in that pe…
health system reform legislation that offers improved insuran…
abuse
action that improperly uses another's resources
accountable care organization (ACO)
network of doctors and hospitals that shares responsibility f…
Insurance Handbook for the Medical Office (ch2)
Compliance is the process of
Transactions in which health care info…
Baby Nelson was born on January 20, 20…
A code system used for managing patien…
Meeting regulations, recommendations, and expectations of fed…
e-health information management and its acronym is eHIM
201201200715 YYYMMDDHHMM
Systematized Nomenclature of Human & Veterinary Medicine its…
Compliance is the process of
Meeting regulations, recommendations, and expectations of fed…
Transactions in which health care info…
e-health information management and its acronym is eHIM
80 terms
Insurance Handbook for the Medical office Ch.1 thru 3
What are the two main billing types?
Facility Billing
Professional Billing
Non Physician Providers
Facility and professional
hospitals, acute care hospitals, skilled nursing or long term…
is done for physicians or non-physician practioners(NPP)
provider who hasn't obtained a medical degree and can prescri…
What are the two main billing types?
Facility and professional
Facility Billing
hospitals, acute care hospitals, skilled nursing or long term…
36 terms
Insurance Handbook For The Medical Office
A/an_______ is a legally enforceable a…
An individual promising to pay for med…
List five health insureance policy ren…
Insurance reimbursement or payment is…
insurance contract policy
guarantor or subcriber
a. Canceable... b. Optionally renewable... c.Condtionally renewable…
Indemnity
A/an_______ is a legally enforceable a…
insurance contract policy
An individual promising to pay for med…
guarantor or subcriber
36 terms
Insurance Handbook For The Medical Office
A/an_______ is a legally enforceable a…
An individual promising to pay for med…
List five health insureance policy ren…
Insurance reimbursement or payment is…
insurance contract policy
guarantor or subcriber
a. Canceable... b. Optionally renewable... c.Condtionally renewable…
Indemnity
A/an_______ is a legally enforceable a…
insurance contract policy
An individual promising to pay for med…
guarantor or subcriber
40 terms
Insurance Handbook for the Medical Office
American Health Information Management…
All of the Above - knowledge, experien…
All of the Above- holding patients' me…
consideration for others
Which organization published diagnostic and procedure coding…
The amount of money an insurance billing specialist earns is…
a billing specialist is entrusted with
Medical etiquette refers to
American Health Information Management…
Which organization published diagnostic and procedure coding…
All of the Above - knowledge, experien…
The amount of money an insurance billing specialist earns is…
insurance handbook for the medical office quiz 1 (ch1)
Electronic Claims Processor
Name some facilities where facility bi…
Name some examples of NPP's (non-physi…
Identify 3 career opportunities (job t…
The ability to input data, transmit insurance claims, update…
a) hospitals... b) Acute care hospitals... c) Skilled nursing or lo…
a) Physician assistant... b) Nurse practitioner... c) Advanced regi…
a) Insurance billing specialist... b) Coding specialist... c) Elect…
Electronic Claims Processor
The ability to input data, transmit insurance claims, update…
Name some facilities where facility bi…
a) hospitals... b) Acute care hospitals... c) Skilled nursing or lo…
37 terms
Chapter 2 Medical Insurance
Which of the following laws is designe…
A Notice of Privacy Practices is given…
Patients' PHI may be released without…
Which government group has the authori…
HIPAA
A practice's patients
employers in workers' compensation cases
OCR
Which of the following laws is designe…
HIPAA
A Notice of Privacy Practices is given…
A practice's patients
Insurance Handbook for the Medical Office Chapter 4
Emergency care is usually given to chr…
A permanent, legal document that forma…
A child's health record is no longer n…
The name of a disease, anatomic struct…
False
Medical Report
False
Eponym
Emergency care is usually given to chr…
False
A permanent, legal document that forma…
Medical Report
21 terms
Computers in the Medical Office Chapter 2
Administrative Safeguards
Audit/Edit Report
Audit Trail
Autoposting
Regulations outlining the minimum administrative, technical,…
A report from a clearinghouse that lists errors to be correct…
A report that traces who has accessed electronic information,…
An automated process for entering information on a remittance…
Administrative Safeguards
Regulations outlining the minimum administrative, technical,…
Audit/Edit Report
A report from a clearinghouse that lists errors to be correct…
34 terms
Chapter 2-HIPAA Compliance and Privacy in Insurance Billing
abuse
authorization
authorization form
breach of confidential communication
Incidents or practices, not usually considered fraudulent, th…
Under the HIPAA privacy rule, an individual's formal, written…
A document signed by the patient that is needed for use and d…
Breach means "breaking or violation of a law or agreement" In…
abuse
Incidents or practices, not usually considered fraudulent, th…
authorization
Under the HIPAA privacy rule, an individual's formal, written…
64 terms
Chapter 2 Compliance, Privacy, Fraud, and Abuse in Insurance Billing
ARRA
CD
CERT
CLIA
American Recovery and Reinvestment Act
compact disk
Comprehensive Error Rate Testing
Clinical Laboratory Improvement Amendments
ARRA
American Recovery and Reinvestment Act
CD
compact disk
31 terms
Medical Office Chapter 2
Abandonment
Arbitration
Assault
Authorization
The physician's failure to furnish care for a particular illn…
The process whereby a neutral third party judges the merits o…
The clear threat of injury to another.
Expressed (stated) permission given by the physician and requ…
Abandonment
The physician's failure to furnish care for a particular illn…
Arbitration
The process whereby a neutral third party judges the merits o…
39 terms
Medical Billing, Coding, and Insurance Chapter 2
A medical record must document what fo…
Explain the term medical professional…
List 8 advantages of EHRs over paper r…
List the four types of information in…
A patient's health history, examinations, tests, and results…
Healthcare providers are legally responsible for providing a…
1. Immediate access to health information.... 2. Computerized ph…
1. The chief complaint.... 2. The history and physical examinati…
A medical record must document what fo…
A patient's health history, examinations, tests, and results…
Explain the term medical professional…
Healthcare providers are legally responsible for providing a…
Chapter 2 Terms Medical Office Procedures
Advance Directives
Arbitration
Assault
Authorization
Legal documents stating the patient's wishes for medical care…
The process whereby a neutral third party judges the merits o…
The clear threat of injury to an individual.
Expressed (stated) permission given by the physician and requ…
Advance Directives
Legal documents stating the patient's wishes for medical care…
Arbitration
The process whereby a neutral third party judges the merits o…
47 terms
Insurance handbook for the Medical Office Ch. 8
Accredited Standards Committee X12 (AS…
Accredited Standards Committee X12 Ver…
Application Service Provider
Back Up
The U.S. standards body formed by the American National Stand…
Upgrade transaction standards that allows providers and payer…
A practice management system available over the Internet in w…
A duplicate data file, such as tape, CD-ROM, disk, or zip dis…
Accredited Standards Committee X12 (AS…
The U.S. standards body formed by the American National Stand…
Accredited Standards Committee X12 Ver…
Upgrade transaction standards that allows providers and payer…
26 terms
Insurance Handbook for the medical office, Fordney, Chapter 9 & 10 Review
Accounts receivable are usually aged i…
Under federal regulations, a list of t…
A patient has a $600 balance and agree…
All collection calls should be placed:
30, 60, 90, and 120 days.
True
True
After 8 AM and before 9 PM.
Accounts receivable are usually aged i…
30, 60, 90, and 120 days.
Under federal regulations, a list of t…
True
28 terms
Ch. 10 Insurance Handbook for the Medical Office
Third-party payers are composed of
The unpaid balance due from patients f…
An important document that provides de…
A term preferable to "write-off" when…
a. private insurance... b. government plans... c. managed care cont…
Account receivable
patient registration form or patient information sheet.
courtesy adjustment.
Third-party payers are composed of
a. private insurance... b. government plans... c. managed care cont…
The unpaid balance due from patients f…
Account receivable
20 terms
SimChart Ch 2 Overview of SimChart for the Medical Office
Active Patient
Button
Check Box
Closed Patient Record
An established patient who has seen the provider or another p…
An element of the user interface on which the user can click…
A specialized type of button that toggles on (unchecked). Che…
The record of a patient who has not been seen by the provider…
Active Patient
An established patient who has seen the provider or another p…
Button
An element of the user interface on which the user can click…
19 terms
Insurance Handbook for the Medical Office: Chapter 15 - Workers' Compensation (Multiple Choice Only)
The statutes for workers' compensation…
The reason for workers' compensation l…
An abnormal condition caused by exposu…
State compensation laws that require e…
c: federal and state
d: (all of the above) ensure a prompt return to work of any i…
b: occupational illness
a: compulsory
The statutes for workers' compensation…
c: federal and state
The reason for workers' compensation l…
d: (all of the above) ensure a prompt return to work of any i…
Chapter 2 - Medical Insurance
Meeting regulations, recommendations a…
Hippocratic Oath
Is to provide continuous insurance cov…
Title 2: Administrative Simplification
Compliance is the process of
What is the first step health insurance specialists should ta…
What is the primary purpose of HIPAA Title 1: Insurance reform?
The focus on the health care practice setting and reduction o…
Meeting regulations, recommendations a…
Compliance is the process of
Hippocratic Oath
What is the first step health insurance specialists should ta…
40 terms
Insurance Handbook for the Medical Office
American Health Information Management…
All of the Above - knowledge, experien…
All of the Above- holding patients' me…
consideration for others
Which organization published diagnostic and procedure coding…
The amount of money an insurance billing specialist earns is…
a billing specialist is entrusted with
Medical etiquette refers to
American Health Information Management…
Which organization published diagnostic and procedure coding…
All of the Above - knowledge, experien…
The amount of money an insurance billing specialist earns is…
40 terms
Insurance Handbook for the Medical Office
American Health Information Management…
All of the Above - knowledge, experien…
All of the Above- holding patients' me…
consideration for others
Which organization published diagnostic and procedure coding…
The amount of money an insurance billing specialist earns is…
a billing specialist is entrusted with
Medical etiquette refers to
American Health Information Management…
Which organization published diagnostic and procedure coding…
All of the Above - knowledge, experien…
The amount of money an insurance billing specialist earns is…
13 terms
Insurance Handbook for the Medical Office: Chapter 6 - Procedural Coding (Multiple Choice Only)
What is the name of the book used in t…
The CPT publication is updated and rev…
The resource-based relative value scal…
The CPT code for office services provi…
b: Current Procedural Terminology (CPT)
a: annually
a: the Centers for Medicare and Medicaid Services
d: 99058
What is the name of the book used in t…
b: Current Procedural Terminology (CPT)
The CPT publication is updated and rev…
a: annually
46 terms
MEDICAL INSURANCE CHAPTER 2
Medical Record
Malpractice
Documentation
Medical standards of care
File containing the documentation of a patient's information
failure to use professional skill when giving medical service…
recording of a patient's health status in a medical record
state-specified performance measures for te delivery of healt…
Medical Record
File containing the documentation of a patient's information
Malpractice
failure to use professional skill when giving medical service…
35 terms
Insurance Handbook for the Medical Office: Chapter 5 - Diagnostic Coding (Multiple Choice Only)
Diagnostic codes on an insurance claim…
What is the consequence when a medical…
Diagnoses that relate to a patient's p…
Why is the correct sequence of codes o…
a: patient's condition tat was treated during the visit
d: (all of the above) it affects the physician's level of rei…
c: excluded
d: (both a and b) to make the chronology of patient care even…
Diagnostic codes on an insurance claim…
a: patient's condition tat was treated during the visit
What is the consequence when a medical…
d: (all of the above) it affects the physician's level of rei…
31 terms
Medical Office Chapter 2 Terms
Abandonment
Arbitration
Assult
Authorization
Physician's failure to furnish care for a particular illness…
Process whereby a neutral 3rd party judges the merits of a co…
Clear threat or injury to another.
Expressed (stated) permission given by the physician and requ…
Abandonment
Physician's failure to furnish care for a particular illness…
Arbitration
Process whereby a neutral 3rd party judges the merits of a co…
26 terms
Insurance Handbook for the Medical Office: Chapter 3 - Basics of Healthe Insurance (Multiple Choice Only)
Which statement is correct regarding t…
Most legal issues of private health in…
When does a physician/patient contract…
Most physician/patient contracts are...
b: the insurance industry is among the world's largest busine…
b:civil law
c: when the physician accepts the patient and agrees to treat…
a:implied
Which statement is correct regarding t…
b: the insurance industry is among the world's largest busine…
Most legal issues of private health in…
b:civil law
Chapter 2 Compliance, Privacy, Fraud & Abuse in Insurance Billing
ARRA
CD
CERT
CLIA
American Recovery & Reinvestment Act
Compact Disk
Comprehensive Error Rate Testing
Clinical Laboratory Improvement Amendment
ARRA
American Recovery & Reinvestment Act
CD
Compact Disk
38 terms
Chapter 2 Key Terms (Health Science)
Agency for Healthcare Research and Qua…
Assisted living facilities
Centers for Disease Control and Preven…
Clinics
A federal agency established to improve the quality, safety,…
Allows individuals who can care for themselves to rent or pur…
Another division of the USDHHS; concerned with the causes, sp…
Health care facilities found in many types of health care.
Agency for Healthcare Research and Qua…
A federal agency established to improve the quality, safety,…
Assisted living facilities
Allows individuals who can care for themselves to rent or pur…
20 terms
Insurance Handbook for the Medical Office: Chapter 9 - Receiving Payments and Insurance Problem-Solving (Multiple Choice Only)
If a payment problem develops with an…
Pending or resubmitted insurance claim…
A follow-up effort made to an insuranc…
If an insurance claim has been lost by…
b: state insurance commissioner
a: tickler
d: (both a and b) inquiry/tracer
a: ask if there is a backlog of claims at the insurance office
If a payment problem develops with an…
b: state insurance commissioner
Pending or resubmitted insurance claim…
a: tickler
80 terms
Chapter 2 - Key Terms
ambulatory payment classifications (AP…
Balanced Budget Act of 1997 (BBA)
CHAMPUS Reform Initiative (CRI)
Civilian Health and Medical Program of…
prospective payment system used to calculate reimbursement fo…
addresses health care fraud and abuse issues, and provides fo…
conducted in 1988; resulted in a new health program called TR…
program that provides health benefits for dependents of veter…
ambulatory payment classifications (AP…
prospective payment system used to calculate reimbursement fo…
Balanced Budget Act of 1997 (BBA)
addresses health care fraud and abuse issues, and provides fo…
19 terms
CCMA chapter 2 terms
Caregiver
Community services
Electronic communication
Electronic health record
Person delegated to provide care for a partially dependent pa…
A service or activity performed by a group of people for the…
Methods of communication via digital methods such as fax, ema…
Systematic collection of a patient's health care and treatmen…
Caregiver
Person delegated to provide care for a partially dependent pa…
Community services
A service or activity performed by a group of people for the…
34 terms
Chapter 2 Key Concepts
Admissions coordinator
American Health Information Management…
charge description master coordinator
Claims examiner
A health care professional who directs the patient registrati…
The primary professional association for health information m…
Oversees the coding and claims processing functions associate…
A professional who reviews health care claims for medical nec…
Admissions coordinator
A health care professional who directs the patient registrati…
American Health Information Management…
The primary professional association for health information m…
49 terms
Chapter 2 Key Terms
association of medical care plans
automobile insurance policy
Balanced budget act of 1997 (BBA)
base period
a national coordinating agency for physician-sponsored health…
contract between an individual and an insurance company where…
addresses health care fraud and abuse issues, and prices for…
period of time that usually covers 12 months and is divided i…
association of medical care plans
a national coordinating agency for physician-sponsored health…
automobile insurance policy
contract between an individual and an insurance company where…
23 terms
Chapter 2 Organization and Time Management in the Medical Office Review
A medical test that helps to identify…
The term clinician can be used to refe…
The phrase that often describes the du…
A mammogram would be referred to as
Preventative Health Screen
nurse practitioner
working the floor
Preventative Health Screen
A medical test that helps to identify…
Preventative Health Screen
The term clinician can be used to refe…
nurse practitioner
Chapter 2 Terms
Centers for Medicare and Medicaid Serv…
Health Insurance Portability and Accou…
Medical Records
Covered Entities
Main federal government agency responsible for health care
Law designed to protect people's private health information,…
Patient's medication files and other clinical materials that…
Organizations that electronically transmit any information th…
Centers for Medicare and Medicaid Serv…
Main federal government agency responsible for health care
Health Insurance Portability and Accou…
Law designed to protect people's private health information,…
28 terms
Insurance Handbook for the Medical Office: Chapter 4 - Medical Documentation and EHR (Multiple Choice Only)
The key to substantiating procedure an…
An electronic medical report is a...
An advantage of electronic medical rec…
When each entry in the medical record…
b: supporting documentation in the electronic health record
d: (both a and c) permanent legal document/part of the health…
d: greater standardization in clinical medical terminology
c: cloned
The key to substantiating procedure an…
b: supporting documentation in the electronic health record
An electronic medical report is a...
d: (both a and c) permanent legal document/part of the health…
8 terms
Computerized Medical - Chapter 2 Key Terms
Button
Check box
Default
Field
An element of the user interface on which the user can click…
A specialized type of button that toggles on (checked) and of…
A preselected value or setting that will be used unless the u…
Space allocated on a form for specific numeric or text data.
Button
An element of the user interface on which the user can click…
Check box
A specialized type of button that toggles on (checked) and of…
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