MA 210 Final review

Discounting or waiving deductible or co-pay in considered:

Patient calls and wants to see the Dr for persistent pain in left hand after a fall. This type of visit is called:

Which of these is NOT an error on a claim form?

There are ______ coding systems for providers to use in reporting their services for reimbursement

Which person signs the front of a check?

Of the following terms, which should be avoided while composing a collection letter?

The percentage that a patient pays for services after the deductible has been met is called:

A consumer-driven health plan in which only the employer contributes and the money is not lost at the end of the year is

Which section of CPT is used by almost every provider specialty?

What's the copay for emergency room listed on the card?

How many section are in the CPT manual?

According to CMS, for a signature to be valid on a claim form which of the following must be met?

What is the other term for insurance policy number?

Look at the picture and determine the type of plan

Your Dr wants to see the names of patients scheduled for the day and brief reason for visit. This list is called a:

A _____ increases the balance of an account, whereas a _____ decreases the balance.

This is the standard format used by providers and suppliers to transmit health care claims electronically.

An adjustment code would be used for which of the following?

Methods used to verify patient coverage include:

A "skip" is:

A company that serves as a middleman between providers and billing groups and prepares claims as required by payers

If a Medicare patient is being provided with a service that might not be covered, the office should

CMS offers incentive payments to providers that adopted, implemented or upgraded _______ of certified EHR technology.

When following up on a delinquent claim, if the carrier tells you that it is still in process, you should:

What does the negotiated rate, or the eligible expense, refer to?

Manual claims tracking:

Which key components must be considered when a provider is selecting a visit level?

To make sure the office and the bank agree on the amount in the account, a _________ is performed.

All of the following bits of information are required to post a payment to a patient account, except:

Patient reports a "terrible migraine for the last 3 days". This would be an "objective finding".

The authorization signed by patient that insurance can pay the MD directly:

If the statute of limitations is 2 yrs and last date on patient account was September 2018, it can be collected until:

Provider observes that site of insect bite is swollen and warm. Where would this information appear on a SOAP note?

Using ICD-10-CM to report diagnoses is required to establish ______.

Plan that employee contributes to with pretax $$; funds must be used in benefit year or lose them.

A record of all charges or services rendered, any payments made by the patient or the insurance, and any adjustments

Claim that is automatically forwarded by Medicare after Medicare has covered it's part of payment is called a/ a

Which of the following is a procedure code?

Your provider asks to schedule a preventive visit for a patient. What type of visit is this?

When is the best opportunity for collecting patient fees?

Primary care physicians who co-ordinate healthcare for patients and provide referrals is called a/an:

Health insurance offered by private companies to persons eligible for Medicare, specifically as a supplement is:

A(n) ___ records the financial transactions of a business; a(n) ___ analyzes these transactions.

All of the following are essential factors that must be included when writing a check, except:

Since 2005, providers have been urged to:

A healthcare provider with ________ can be exempt from filing claims electronically.

The person to whom the check is written is the:

In many instances, a ___________, will pay most, if not all, of the balance left over from primary insurance to the MD.

Dr. Lou is transferring his patient, Anna, to a cardiologist for further work up. Dr. Lou is the referring provider.

A patient account history is referred to as patient ledger.

The document that the patient signs that they are aware of privacy practices in the doctor's office is called:

A provider at your office wants you to give her information regarding patient wait times. This is called a: