final for ML114-actual answers

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

In the Alphabetic Index main terms appear:

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

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

The CPT coding manual is updated annually on

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

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

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

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

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

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

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

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

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

accounts owed to the physician are accounts

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

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

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

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

The signs and symptoms of a disease are its_____

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

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

The format of HCPCS is

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

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

Who in the office is authorized to sign checks?

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

Someone who is poor, needy, or impoverished is considered

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

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

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

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

a list of the fixed fees for services is:

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

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

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

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

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 MA should____ the front and back of the patients insurance card

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

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

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

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

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

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

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

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

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

Many direct deposits are processed through which of the following?

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

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

patient care approached from a holistic approach defines

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

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

Which of the following is typically documented in the EOB?

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

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

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

Electronic data interchange is:

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

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_______.

The patient billing record includes which of the following information?

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

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

The abbreviation that is the equivalent of unspecified is______

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

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

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?

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

Diagnostic coding was originally developed to study causes of:

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

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

To settle or determine judicially is the definition of:

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

Burns are coded by:

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

The International Classification of Diseases was established by:

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

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

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

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

Which of the following is the most successful collection strategy?

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

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

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

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

When performing diagnostic coding you should start looking in the:

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

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

The MA should always follow office____ for claim review and signatures

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

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

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

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

the cause of a disorder is its_____

The code for HIV indicates which of the following?

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