Preferred Provider Organization

Quiz Chaper 17,18,19 Flashcards

1

True or false: HMO requires referrals for specialists.

False
True

2

What factors determine service level?

Patient's insurance type
Doctor's age
Patient history extent
Location of service

3

How many mg in 1 g?

1000 mg
100 mg
500 mg
2000 mg

4

True or false: Medicaid is for high-income families.

False
True

5

What is a superbill?

A payment receipt
A billing statement
An insurance claim
A detailed invoice

6

What does CPT stand for?

Current Procedural Terminology
Current Patient Treatment
Current Patient Terminology
Current Procedure Tracking

7

What is an example of insurance fraud?

Reporting necessary services
Reporting correct services
Reporting lower levels
Reporting unperformed services

8

What is a copayment?

A variable fee
A deductible amount
A percentage fee
A fixed fee

9

What does HMO stand for?

Health Maintenance Organization
Health Medical Organization
Health Maintenance Option
Health Management Option

10

True or false: A Blue triangle indicates a new code.

True
False

11

What is the correct formula for converting Celsius to Fahrenheit?

F= (C X 1.8) + 32
F= (C + 32) X 1.8
F = (C X 32) + 1.8

12

What is a PPO?

Preferred Provider Organization
Primary Provider Option
Patient Provider Organization
Personal Provider Organization

13

What does NOS mean?

Not open source
Not otherwise specified
Not on schedule
Not on site

14

1 kg = ___ Lbs

2
3
2.2
1.2

15

True or false: The principal diagnosis is the main reason for admission.

False
True

16

How many codes can be used for a burn?

1 code
3 codes
4 codes
2 codes

17

What does Medicare provide?

Insurance for all ages
Insurance for seniors
Insurance for low income
Insurance for children

Quiz Chaper 17,18,19

Questions 17

Quiz Chaper 17,18,19

Questions 17