Financial Management and Insurance

Which of the following individuals and claims would not be covered by Medicaid?

Who do preferred providers contract with to provide patient care at a discounted rate?

To what programs do FICA taxes contribute?

Which definition properly describes Relative Value Units (RVUs)?

What is the major principle of managed care organizations (MCOs)?

For a Medicare Part B claim, how much does Medicare pay for a service?

Income: $300,000 Expenses: $100,000 Given this information, what would be the net income for the month?

What does DRG stand for?

What coding system was used by healthcare providers prior to October 1, 2015?

In addition to indemnity plans, what other types of health plans do Blue Cross and Blue Shield offer?

Who would request preauthorization from an insurance company for a specific treatment?

How many digits long is each CPT code?

When is an unpaid account typically considered overdue?

Which one of these terms is considered fraud?

Which of the following does not contain regulations targeting fraud and abuse?

What term describes a method of care for the terminally ill?

Which is not an example of accounts payable?

What must be obtained in order to release a patient’s medical information to a prospective employer of the patient?

In the ICD-9 coding format XXX.XX, what do the first three digits signify?

Which form is used as the employee’s withholding allowance certificate?

At what age can individuals file for Medicare coverage Part A?

When a worker is injured on the job, how much does the worker pay for a deductible?

A check signed with the words “Pay to the order of” is an example of which type of endorsement:

Michelle had a baby, and the cost was $10k. If she has a deductible of $1k, and a coinsurance of 10%, how much is owed?

Document prepared by the insurance company, provided to the patient after treatment and includes coverage details?

Which type of insurance plans offer group coverage?

What is the claim form accepted by most insurance carriers, prepared using name identifiers and CPT and ICD-10-CM codes?

Which of these insurance companies is a commercial business?

Which is the primary method of payment in a medical practice?

Which of the following is a newborn care CPT code?