final for ML114-actual answers

____ are indented under the main term and must be included in the diagnostic statement

After the deductible has been met, the policyholder is responsible for a certain % of the bill is the definition of:

accounts owed to the physician are accounts

The provider who enters into a contract with an insurance company and agrees to certain rules and regulations is called:

When coding neoplasms____ is defined as the absence of invasion of surrounding tissues

Which of the following needs to occur when a check is returned from the bank for NSF?

Which of the following types of accounts requires a minimum balance and draws interest at the highest rates?

A formal request for payment from an insurance company for services provided is:

The abbreviation that is the equivalent of unspecified is______

Codes with a plus sign are additional codes that must be used with which of the following?

The provider is paid a set amount for each enrolled person assigned to them, whether or not the person has received ser

the cause of a disorder is its_____

Insured account requiring minimum balance that draws interest at a higher % than a regular savings account is:

type of insurance that protects workers from loss of wages after industrial accident that happened on the job is called:

Which of the following letters in the ICD-10-CM is reserved by the WHO to assign new diseases with uncertain etiology?

payment method-providers are paid for each individual enrolled in plan, regardless of whether the person sees them____

Many direct deposits are processed through which of the following?

To make repayment to for expense or loss incurred describes which of the following?

a set dollar amount that the policyholder must pay for each office visit is:

all property available for the payment of debts said to be his or her_______.

At times the MA must code a(n)_____ if the physician is not yet sure of the diagnosis

Which of the following steps to medical billing should be performed prior to rendering medical services?

physical status modifier P4 is assigned to which of the following?

dependents of military personnel are covered by which of the following government-sponsored health insurances plans?

who is financially responsible for a minor seeking treatment for STD without parental consent?

a review of individual cases by a committee to make sure that services are medically necessary is called a(n):

A(n)____ check has a detachable form that is used to itemize or specify the purpose for which the check is drawn

which of thefollowing Medicare plansfor primary care & specialist services isthe patient required to paya monthlypremium

If the ICD-10-CM codes and the CPT/HCPCS codes do not match the claim will not show

An eponym will be used in which of the following CPT divisions?

Diagnostic coding was originally developed to study causes of:

The MA should____ the front and back of the patients insurance card

a set dollar amount that the patient must pay for each office visit is:

a policy that covers a number of people under a single contract issued to the employer

What is the first thing the MA should do when a check is returned unpaid by the bank?

Which of the following is typically documented in the EOB?

Determining the cause of a condition, illness, disease, injury, or congenital defect describes which of the following:

When searching the alphabetic index "humerus" is an example of which of the following?

Who in the office is authorized to sign checks?

Services and/or supplies used to treat the patient diagnosis meet the accepted standard of medicine practice is:

Which of the following plans require healthcare providers to become participating providers?

Which of the following best describes an ACH transfer of funds between 2 separate banking institutions?

a new or experimental procedure or service code is a category code:

Meeting stipulated requirements to participate in the healthcare plan is the definition of:

Which of the following MCOs typically has have the lowest monthly premiums with lower patient financial responsibility?

Which of the following levels of history includes a review of the systems that relate to the chief complaint?

plan in which payments are transferred, usually electronically, by paying agency directly to the account of a recipient

healthcare services appropriate for the evaluation and treatment of a disease, condition, illness, or injury describes:

Which of the following methods can be used to determine a patients eligibility for insurance?

The patient billing record includes which of the following information?

The MA should always follow office____ for claim review and signatures

A(n)____ claim has been completed accurately and completely

The CPT coding manual is updated annually on

The code for HIV indicates which of the following?

a document guaranteeing payment or a specific amount of money to the payer named on the document is:

The International Classification of Diseases was established by:

a signature on the back of a check whereby the rights of the check are transferred to another party is____

a list of the fixed fees for services is:

When an account is opened at the bank, the depositor will be required to complete a(n)_____ card.

In some managed care plans referrals to a specialist must be approved by the

patient care approached from a holistic approach defines

For offices with a no cash policy, which type of payment is typically recommended for patients without a bank account

a certain percentage of the allowed amount that a policyholder is responsible for is:

The first step in filing a claim with a third-party is:

Which of the following expenses would be paid by Medicare Part B?

a set dollar amount that the policyholder must pay before the insurance company starts to pay for services is:

The MA should never code a patient as having___ unless its clearly documented as confirmed in the medical record

Which of the following sections uses the code range between 70000 and 79999?

The state of the patient as either new or established is called the patient____

an abnormal condition resulting from a previous disease describes which of the following terms?

To settle or determine judicially is the definition of:

In the Alphabetic Index main terms appear:

a document sent by the insurance company to the provider & the patient explaining the allowed charge and patients respon

Most of todays health insurance policies cover which of the following?

Which of the following is not an acceptable reason for a stop-payment on a check?

The process of determining if a procedure or service is covered by the insurance plan and what the reimbursement is:

The study of the causes or origin of diseases describes which of the following terms?

Which of the following are not reviewed by a utilization review committee?

Which of the account aging categories requires a final demand letter before account is turnedover to a collection agency

Which of the following codes can be used to help measure performance and outcomes?

One time unit in anesthesia coding typically equals which of the following?

In some managed care plans referrals to a specialist must be approved by the

branch that deals with incidence, distribution, and control of disease in a popul. & prevalence of in large popul.....

To find the most accurate code, coders use the following progression

The relative frequency of deaths in a specific population describes which of the following terms?

Electronic data interchange is:

Qualitative and quantitative codes for drug testing are found in which of the following CPT sections?

Medical records used for procedural coding can include which of the following?

Patients belonging to a MCO usually are required to get a referral from the____ before seeing a specialist

ICD-10-CM uses up to____ characters to identify a disease or injury

The signs and symptoms of a disease are its_____

The format of HCPCS is

collecting important information form the health record describes which of the following terms?

When performing diagnostic coding you should start looking in the:

Burns are coded by:

Which of the following is the most successful collection strategy?

If the MA is allowed to sign checks on the physicians business account, he/she must sign a document at the bank called:

Which of the following is a method of closed treatment of fractures

____ are notes included in the Tabular Index to provide additional guidance for selected diagnosis codes

Someone who is poor, needy, or impoverished is considered