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MBG102 Week 3 Review Flashcards | StudBud
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MBG102 Week 3 Review
MBG102 Week 3 Review
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MBG102#Week3#review
Flashcards
32 cards
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Questions
32
Answers
1
What does MAC stand for?
Municipal Advisory Council
Medicare Administrative Contractor
Medical Affirmative Claims
Medical Advisory Council
2
What does EPO stand for?
Education & Public Outreach
Exclusive Provider Organization
Exclusive Physician Organization
Environmental Protection Order
3
What does WCAB stand for?
Workers' Compensation Appeals Board
Water Conservation Advisory Board
World Cup Accommodation Bureau
Workmen's Compensation Appeals Board
4
What does DEERS stand for?
Defense Eligibility Enrollment and Records System
Dependents Eligibility Enrollment Registration System
Defense Enrollment Eligibility Reporting System
Defense Entitlement Eligibility Reporting System
5
Medically necessary treatment for immediate injury/illness that would NOT cause further trouble
Urgent Care
Routine Care
Emergent Care
6
What does HMO stand for?
Health Management Organization
Health Maintenance Organization
Hand Money Over
High Mobility Operations
7
California is the only state to offer State Disability Income (SDI).
False
True
8
A decision by a MAC on whether or not to cover a service on a contractor wide basis is known as
None of the above
A Correct Coding Initiative
A National Coverage Determination
A Local Coverage Determination
9
Texas providers have 95 days to submit claims to Medicaid.
True
False
10
What does TDI stand for?
Therapeutics Development Initiative
Texas Department of Insurance
Temporary Disability Income
Technology Development and Innovation
11
What does ABN stand for?
AT & T Business Network
American Business Network
Advanced Beneficiary Notice
Arbitrary Beneficiary Notice
12
Tricare provides medical coverage
to anyone who applies for it
None of the above.
to Dishonorably discharged veterans
To military personnel and their families
13
What does SSDI stand for?
Supplemental Security Disability Income
Social Security Death Index
Social Security Disability Insurance
Social Security Disability Income
14
What does SSI stand for?
Social Security Insurance
Sensitive Security Information
Supplemental Security Income
Social Security Income
15
What does DWC stand for?
Department of Workers' Compensation
Division of Workers' Compensation
Department of Workmen's Compensation
Division of Workmen's Compensation
16
Annual Physicals are NOT considered a basic health service.
True
False
17
A Quality Improvement Organization (QIO)
Settles disputes over fees
None of the above.
Evaluates the quality & efficiency of physicians in a group
Examines evidence for admission and discharge
18
What does AME stand for?
Agreed Medical Examiner
Adverse Medicine Events
Aviation Medical Examiners
Accessible Medical Equipment
19
What does PPO stand for?
Preferred Physician Organization
Prior Permission Only
Public Policy Office
Preferred Provider Organization
20
What does TAR stand for?
Treatment Authorization Request
Total Accident Rate
Technical Assistance Request
Treatment Administration Record
21
What does PQRS stand for?
Postoperative Quality of Recovery Scal
Physician Quality Reporting System
Performance Quality Rating Scale
Probabilities, Quantiles and Random Samples
22
In Texas, the waiting period before work comp disability income can be paid is ___ days.
8
30
9
7
23
Short term disability ends in 12 months
False
True
24
A medi/medi patient has both Medicare Part B and Medicaid
True
False
25
The legal promise of a patient to satisfy a debt to the physician from a work comp case is
a subpoena
a medical service order
a promissory note
a lien.
26
What does OSHA stand for?
On-Site Hazard Analysis
Operation & Support Hazard Analysis
Occupational Safety and Health Administration
Office on Smoking and Health
27
The employee has ___ days to file a claim with DWC.
30
8
7
90
28
Prescription Drugs ARE covered under Medicare Part C
True
False
29
Provisions that limit the scope of insurance coverage are known as:
None of the above
Clauses
Exclusions
Deductibles
30
What does ESRD stand for?
Emergency Services Routing Digits
Equipment Shipment Ready Date
End-Stage Renal Disease
Experimental Systems and Research Department
31
The employee pays the work comp premium to the insurance company
False
True
32
In Texas, an employer has ___ days to file a work comp claim with the insurance company.
7
8
90
30