MA 210 Review (new)

An amount of money that the insured must pay before the insurance begins to pay.

An example of a bad debt ____if a patient owes $200 and the pt dies leaving the balance of $200 uncollectable.

Discounts must generally be authorized by the?

Administer Medicare Program

Insurance that is offered by to anyone who is able to get Medicare, and supplements benefits is called?

Determination of whether patient is eligible for coverage of services.

In TILA what requirements have to be met for credit transactions?

When following up on a delinquent claim, if the carrier tells you that it is still in process, what do you do?

In 2019, the penalty, per violation of the feral anti-kickback statute was what?

A professional courtesy discount is an example of?

Another name for electronic transmission

Refers to the discovery of the maximum amount of money that a carrier will pay for primary surgery, consult service.

Obtaining permission for coverage from the patient's insurance prior to a service being given.

Each time a patient arrives in the office, you should copy what part of the insurance card?

Insurance coverage primarily for those with low income?

What kind of form lists procedures performed and their codes?

What defines Medical necessity?

Upcoding can result in?

Covers Hospital Care

A provider may NOT charge a patient for?

Accuracy in obtaining patient information is vital to reimbursement.

Where in the CPT manual would you find information about modifiers?

Which part of Medicare pays for office visits and X-rays plus lab work?

Verification of insurance is complete when the MA receives the patient's insurance card.

Coverage for dependents for current and retired military personnel?

The insurance company is contacted to get a managed care referral?

What means that the doctor or supplier agrees to accept the Medicare-approved amount?

Belongs to a network of providers and arranges for specialists for the patient.

Computerized accounting systems

The total amount of cash and checks, including credit and debit card payments, should be manually recorded on what?

What can cause a claim to be rejected?

Which form is also known as the UB-04 form?

Supports Claim Documentation

The terms "PAY TO THE ORDER OF" on a check is considered?

What are the steps to obtain precertification, preauthorization for a procedure on a managed care plan

Most financial accounting is based on the _______method of bookkeeping.

A company that serves as the middleman between providers and billing groups?

What nonprofit is partner shipped with managed care plans, consumers, purchasers and public sector?

Accounting systems include all BUT which of the following?

When collecting a bill for a deceased patient, which is true.

When a provider works with Workers Compensation, how often are they required to register with the board?

Which part of HCPCS codes that identify products, supplies and services not included in CPT?

Covers Prescriptions

What is the correct way to write the numerical amount $5.62 as a written amount?

Out-of-pocket expenses

Providers can charge a different amount to each insurance company for the same service.

What is a method of reimbursement in which the Medicare payment for pt. services based on a predetermined, fixed amount?

When a provider does not accept Medicare, the most they can charge a patient is what percentage?

Because a PCP in an HMO makes referrals and approves additional care if needed, he or she is considered what?

A check paid directly from a checking account over the internet is known as?

It is typically the responsibility of the _____to produce the values used in cost-benefit analysis.

The patient's appreciation for the services received is highest?

Determines which policy is primary and secondary when a patient is covered by two policies?

The insurance company is contacted to get a preauthorization?

The _____demonstrates the value of a business

Since 2005, providers have been urged to?

When your medical office receives an invoice from a supplier, which section does the name of the practice appear?

The standard claim form designed by the Center for Medicare and Medicaid Services to submit services for 3rd ins payment

Insurance coverage primarily for those over age 65

Where in the CPT manual would you find information about modifiers?

Which of the following are considered third-party (insurance) plans?

When coding, the primary reason for the office visit is listed first, and other reasons are listed in what order?

HCPCS Level I codes are known as:

To stop payment is placed on a check, the bank will?

Managed Care Option

The process of verifying amounts on bank statements are matching the amounts in the check register.

Which of the following would NOT be a required step in utilizing medical necessity guidelines?

A fixed payment made at the time of service, as determined by the insurance.

Who publishes Current Procedural Terminology (CPT)?

Which statement is NOT true when making a collection call?

Which of the following is NOT included in the company details on an invoice?

Records that are reviewed by third-party pays if a procedure is not document, it?

Which HCPCS Level II codes are temporary codes for procedures, services, and supplies?

Current COT manuals use symbols to indicate specific information. What does "+" symbol stand for?

Covers Medical Care by PCP

A uniform billing format for medical claims?

The ICD-9-CM remained in use in the United States until September 30th of what year?

A unique 10-digit number assigned to a provider

Coverage for those who get injured at work.

Accounts are considered current if within _____ day of the billing date?

Checking payments a patient is responsible for and the payment by the insurance company will make is known as?

Which of the following is the best Goss Collection ratio?

Which is NOT and advantage of using Electronic tracking (ECT)system?

Under the birthday rule, if the parent's divorce and retain their plans, the parent with _______ is primary.

A _____ check is a check presented too long after it was written to be honored by the bank.

When filling out a deposit slip, if you have more checks that can fit on the front, what do you do?

After transmitting electronic claims, call the insurance company to be sure claims were received?